KELLY JEAN BAKER - Pharmacist License in Illinois | # 049175463

KELLY JEAN BAKER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175463

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

JEAN

Last Name

BAKER

Business Name

KELLY JEAN BAKER

Original Issue Date

04/10/2007

Effective Date

01/19/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022