IDAISA S BAYLON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063905

License Status

NOT RENEWED

Business

First Name

IDAISA

Middle

Last Name

BAYLON

Business Name

IDAISA S BAYLON

Original Issue Date

07/18/1975

Effective Date

07/18/1975

Expiration Date

03/31/1989

City

NORTHLAKE

State

Zip

60164

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005