RASA BALAISYTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150567

License Status

NOT RENEWED

Business

First Name

RASA

Last Name

BALAISYTE

Business Name

RASA BALAISYTE

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005