Jerry Wayne Baker
ExpiredIllinois license 049054715
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049054715
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Jerry Wayne Baker
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Oblong, IL 62449
Crawford County