GODOFREDO BALEDA VILLARDE JR - Pharmacist License in Illinois | # 049123355

GODOFREDO BALEDA VILLARDE JR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123355

License Status

NOT RENEWED

Business

N

First Name

GODOFREDO

Middle

BALEDA

Last Name

VILLARDE

Suffix

JR

Business Name

GODOFREDO BALEDA VILLARDE JR

Original Issue Date

10/21/1998

Effective Date

10/21/1998

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005