LEILANI NICOLE BALDERAS - Pharmacist License in Illinois | # 049259763

LEILANI NICOLE BALDERAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259763

License Status

NOT RENEWED

Business

N

First Name

LEILANI

Middle

NICOLE

Last Name

BALDERAS

Business Name

LEILANI NICOLE BALDERAS

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019