NICOLE L BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144802

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BAKER

Business Name

NICOLE L BAKER

Original Issue Date

09/25/2002

Effective Date

09/25/2002

Expiration Date

03/31/2003

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005