DORETHA BRYANT BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163056

License Status

NOT RENEWED

Business

First Name

DORETHA

Last Name

BRYANT BAKER

Business Name

DORETHA BRYANT BAKER

Original Issue Date

08/17/2005

Effective Date

03/09/2020

Expiration Date

03/31/2021

City

PORTER

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

07/20/2021