LISA ANN BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136503

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

BAKER

Business Name

LISA ANN BAKER

Original Issue Date

05/30/2001

Effective Date

05/30/2001

Expiration Date

03/31/2002

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

12/06/2005