DYLAN J BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246008

License Status

NOT RENEWED

Business

First Name

DYLAN

Middle

Last Name

BAKER

Business Name

DYLAN J BAKER

Original Issue Date

11/01/2016

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2019