MELANIE J BAKKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164911

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

BAKKER

Business Name

MELANIE J BAKKER

Original Issue Date

11/10/2005

Effective Date

04/11/2011

Expiration Date

03/31/2012

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

05/07/2012