DANIEL MICHAEL BALTRUSIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062329

License Status

NOT RENEWED

Business

First Name

DANIEL MICHAEL

Last Name

BALTRUSIS

Business Name

DANIEL MICHAEL BALTRUSIS

Original Issue Date

10/04/1974

Effective Date

10/04/1974

Expiration Date

03/31/1984

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005