JAYA BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117183

License Status

NOT RENEWED

Business

First Name

JAYA

Last Name

BAKER

Business Name

JAYA BAKER

Original Issue Date

04/10/1997

Effective Date

04/10/1997

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005