RAIZA P BALLENA - Pharmacist License in Illinois | # 049200698

RAIZA P BALLENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200698

License Status

NOT RENEWED

Business

N

First Name

RAIZA

Middle

P

Last Name

BALLENA

Business Name

RAIZA P BALLENA

Original Issue Date

09/22/2010

Effective Date

03/18/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014