KIMBERLY ANN BALOTA - Pharmacist License in Illinois | # 049117030

KIMBERLY ANN BALOTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117030

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

ANN

Last Name

BALOTA

Business Name

KIMBERLY ANN BALOTA

Original Issue Date

04/01/1997

Effective Date

04/01/1997

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005