WILLIE P BALITAAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077199

License Status

NOT RENEWED

Business

First Name

WILLIE P

Last Name

BALITAAN

Business Name

WILLIE P BALITAAN

Original Issue Date

10/31/1982

Effective Date

10/31/1982

Expiration Date

03/31/1986

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005