FREDDIE LANCE BAKER - Pharmacist License in Illinois | # 049151786

FREDDIE LANCE BAKER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151786

License Status

NOT RENEWED

Business

N

First Name

FREDDIE

Middle

LANCE

Last Name

BAKER

Business Name

FREDDIE LANCE BAKER

Original Issue Date

10/21/2003

Effective Date

10/21/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005