ACELITA T BALTAZAR - Pharmacist License in Illinois | # 049092644

ACELITA T BALTAZAR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092644

License Status

NOT RENEWED

Business

N

First Name

ACELITA

Middle

T

Last Name

BALTAZAR

Business Name

ACELITA T BALTAZAR

Original Issue Date

03/24/1990

Effective Date

03/24/1990

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005