ANDREW R BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250860

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

BAKER

Business Name

ANDREW R BAKER

Original Issue Date

05/25/2017

Effective Date

02/05/2019

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2021