DONNA LOUISE BAEZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123543

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

LOUISE

Last Name

BAEZA

Business Name

DONNA LOUISE BAEZA

Original Issue Date

10/30/1998

Effective Date

02/04/2023

Expiration Date

03/31/2024

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/03/2025