ROBERTO CARLOS BAEZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119360

License Status

NOT RENEWED

Business

First Name

ROBERTO

Middle

CARLOS

Last Name

BAEZA

Business Name

ROBERTO CARLOS BAEZA

Original Issue Date

11/18/1997

Effective Date

11/18/1997

Expiration Date

03/31/1999

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005