WILLIE BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158157

License Status

NOT RENEWED

Business

First Name

WILLIE

Last Name

BAKER

Business Name

WILLIE BAKER

Original Issue Date

12/06/2004

Effective Date

12/06/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006