MICKI L BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111124

License Status

NOT RENEWED

Business

First Name

MICKI L

Last Name

BAKER

Business Name

MICKI L BAKER

Original Issue Date

07/14/1995

Effective Date

07/14/1995

Expiration Date

03/31/1998

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

10/17/2005