CRISOLOGO P BALITAAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078223

License Status

NOT RENEWED

Business

First Name

CRISOLOGO P

Last Name

BALITAAN

Business Name

CRISOLOGO P BALITAAN

Original Issue Date

05/04/1983

Effective Date

05/04/1983

Expiration Date

03/31/1986

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005