ANDREA J BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126035

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BAKER

Business Name

ANDREA J BAKER

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

03/31/2004

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005