JESSICA DIANE BAYLOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143141

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

DIANE

Last Name

BAYLOR

Business Name

JESSICA DIANE BAYLOR

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

03/31/2005

City

SMITHTON

State

Zip

62285

Ever Disciplined

LastModifiedDate

10/20/2005