IDAISA S BAYLON - Pharmacist License in Illinois | # 049063905

IDAISA S BAYLON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063905

License Status

NOT RENEWED

Business

N

First Name

IDAISA

Middle

S

Last Name

BAYLON

Business Name

IDAISA S BAYLON

Original Issue Date

07/18/1975

Effective Date

07/18/1975

Expiration Date

03/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005