KIMBERLY KAY BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124017

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

KAY

Last Name

BAKER

Business Name

KIMBERLY KAY BAKER

Original Issue Date

12/04/1998

Effective Date

03/18/2013

Expiration Date

03/31/2014

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

05/06/2014