JEROME MELVIN BAKER - Pharmacist License in Illinois | # 049130082

JEROME MELVIN BAKER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130082

License Status

NOT RENEWED

Business

N

First Name

JEROME

Middle

MELVIN

Last Name

BAKER

Business Name

JEROME MELVIN BAKER

Original Issue Date

03/20/2000

Effective Date

03/20/2000

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005