DUSTIE ANN BAKER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189670

License Status

INACTIVE

Business

First Name

DUSTIE

Middle

ANN

Last Name

BAKER

Business Name

DUSTIE ANN BAKER

Original Issue Date

02/17/2009

Effective Date

02/17/2009

Expiration Date

03/31/2010

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/25/2011