MARIE JEANETTE BALTAZAR - Pharmacist License in Illinois | # 049107842

MARIE JEANETTE BALTAZAR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107842

License Status

NOT RENEWED

Business

N

First Name

MARIE JEANETTE

Last Name

BALTAZAR

Business Name

MARIE JEANETTE BALTAZAR

Original Issue Date

08/19/1994

Effective Date

08/19/1994

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005