CYNTHIA L BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160084

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

BAKER

Business Name

CYNTHIA L BAKER

Original Issue Date

04/12/2005

Effective Date

08/25/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007