JEROME MELVIN BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130082

License Status

NOT RENEWED

Business

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

City

NORTH AURORA

State

Zip

60542

County

KANE

Ever Disciplined

LastModifiedDate

12/06/2005