DIANE M BALDUS - Pharmacist License in Illinois | # 049064115

DIANE M BALDUS

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064115

License Status

CANCELLED

Business

N

First Name

DIANE M

Last Name

BALDUS

Business Name

DIANE M BALDUS

Original Issue Date

09/05/1975

Effective Date

09/05/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005