KATELYN MICAH BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177466

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

MICAH

Last Name

BAKER

Business Name

KATELYN MICAH BAKER

Original Issue Date

07/02/2007

Effective Date

02/04/2013

Expiration Date

03/31/2014

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

05/06/2014