FREDDIE LANCE BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151786

License Status

NOT RENEWED

Business

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

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

10/20/2005