AUDRA SUE BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116030

License Status

NOT RENEWED

Business

First Name

AUDRA SUE

Last Name

BAKER

Business Name

AUDRA SUE BAKER

Original Issue Date

11/20/1996

Effective Date

11/20/1996

Expiration Date

03/31/2000

City

BETHALTO

State

Zip

62010

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005