JEFFREY D BAKER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040993

License Status

INACTIVE

Business

First Name

JEFFREY D

Last Name

BAKER

Business Name

JEFFREY D BAKER

Original Issue Date

08/21/1996

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/04/2020