MATTHEW WILLIAM BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177576

License Status

NOT RENEWED

Business

First Name

MATTHEW WILLIAM

Last Name

BAKER

Business Name

MATTHEW WILLIAM BAKER

Original Issue Date

07/05/2007

Effective Date

01/16/2015

Expiration Date

03/31/2016

City

MORO

State

Zip

62067

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016