NORMA CLEOFAS BALLENAS - Pharmacist License in Illinois | # 049054359

NORMA CLEOFAS BALLENAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054359

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010