AMY MARIE BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128045

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

BAKER

Business Name

AMY MARIE BAKER

Original Issue Date

10/28/1999

Effective Date

03/30/2015

Expiration Date

03/31/2016

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/20/2016