BALEWA IBN WATTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138589

License Status

NOT RENEWED

Business

First Name

BALEWA

Middle

IBN

Last Name

WATTS

Business Name

BALEWA IBN WATTS

Original Issue Date

10/05/2001

Effective Date

10/05/2001

Expiration Date

03/31/2003

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005