ACELITA T BALTAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092644

License Status

NOT RENEWED

Business

First Name

ACELITA

Middle

Last Name

BALTAZAR

Business Name

ACELITA T BALTAZAR

Original Issue Date

03/24/1990

Effective Date

03/24/1990

Expiration Date

03/31/2004

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005