NORMA CLEOFAS BALLENAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054359

License Status

NOT RENEWED

Business

First Name

NORMA CLEOFAS

Last Name

BALLENAS

Business Name

NORMA CLEOFAS BALLENAS

Original Issue Date

01/01/1997

Effective Date

01/22/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010