JENNIFER ANN BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255683

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

BAKER

Business Name

JENNIFER ANN BAKER

Original Issue Date

01/23/2018

Effective Date

01/23/2018

Expiration Date

03/31/2019

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019