KEA SUE BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133657

License Status

NOT RENEWED

Business

First Name

KEA

Middle

SUE

Last Name

BAKER

Business Name

KEA SUE BAKER

Original Issue Date

11/20/2000

Effective Date

11/20/2000

Expiration Date

03/31/2003

City

BETHALTO

State

Zip

62010

Ever Disciplined

LastModifiedDate

10/20/2005