NORMA FRIAS BALITISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139941

License Status

NOT RENEWED

Business

First Name

NORMA

Middle

FRIAS

Last Name

BALITISTA

Business Name

NORMA FRIAS BALITISTA

Original Issue Date

01/11/2002

Effective Date

01/11/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005