JERRY W BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029941

License Status

NOT RENEWED

Business

First Name

JERRY W

Last Name

BAKER

Business Name

JERRY W BAKER

Original Issue Date

08/02/1974

Effective Date

03/25/2014

Expiration Date

03/31/2016

City

OBLONG

State

Zip

62449

County

CRAWFORD

Ever Disciplined

LastModifiedDate

05/20/2016