JERROD CECIL BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197411

License Status

NOT RENEWED

Business

First Name

JERROD

Middle

CECIL

Last Name

BAKER

Business Name

JERROD CECIL BAKER

Original Issue Date

03/22/2010

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011