TAYLOR RAY BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152867

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

RAY

Last Name

BAKER

Business Name

TAYLOR RAY BAKER

Original Issue Date

01/15/2004

Effective Date

03/18/2013

Expiration Date

03/31/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014