GODOFREDO BALEDA VILLARDE JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123355

License Status

NOT RENEWED

Business

First Name

GODOFREDO

Middle

BALEDA

Last Name

VILLARDE

Suffix

Business Name

GODOFREDO BALEDA VILLARDE JR

Original Issue Date

10/21/1998

Effective Date

10/21/1998

Expiration Date

03/31/2000

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005