MARIE JEANETTE BALTAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107842

License Status

NOT RENEWED

Business

First Name

MARIE JEANETTE

Last Name

BALTAZAR

Business Name

MARIE JEANETTE BALTAZAR

Original Issue Date

08/19/1994

Effective Date

08/19/1994

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005