JUDITH ELLEN BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124969

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

ELLEN

Last Name

BAKER

Business Name

JUDITH ELLEN BAKER

Original Issue Date

03/10/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008