LENETTE BALTAZAR - Pharmacist License in Illinois | # 049092720

LENETTE BALTAZAR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092720

License Status

NOT RENEWED

Business

N

First Name

LENETTE

Last Name

BALTAZAR

Business Name

LENETTE BALTAZAR

Original Issue Date

03/31/1990

Effective Date

03/31/1990

Expiration Date

03/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

10/19/2006