EVELYN BALISNOMO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132324

License Status

NOT RENEWED

Business

First Name

EVELYN

Last Name

BALISNOMO

Business Name

EVELYN BALISNOMO

Original Issue Date

08/23/2000

Effective Date

08/23/2000

Expiration Date

03/31/2003

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005