LA SHON Y CARR BALOGUN - Pharmacist License in Illinois | # 049115767

LA SHON Y CARR BALOGUN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115767

License Status

NOT RENEWED

Business

N

First Name

LA SHON

Middle

Y

Last Name

CARR BALOGUN

Business Name

LA SHON Y CARR BALOGUN

Original Issue Date

10/29/1996

Effective Date

10/29/1996

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005