JASON S BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142102

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

BAKER

Business Name

JASON S BAKER

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2003

City

ASHKUM

State

Zip

60911

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/20/2005