LEA VALDEPENAS BALIGOD - Pharmacist License in Illinois | # 049157712

LEA VALDEPENAS BALIGOD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157712

License Status

NOT RENEWED

Business

N

First Name

LEA

Middle

VALDEPENAS

Last Name

BALIGOD

Business Name

LEA VALDEPENAS BALIGOD

Original Issue Date

11/04/2004

Effective Date

03/12/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016