SHERYL A BALTZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123960

License Status

NOT RENEWED

Business

First Name

SHERYL

Middle

Last Name

BALTZER

Business Name

SHERYL A BALTZER

Original Issue Date

11/30/1998

Effective Date

11/30/1998

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005