LEA VALDEPENAS BALIGOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157712

License Status

NOT RENEWED

Business

First Name

LEA

Middle

VALDEPENAS

Last Name

BALIGOD

Business Name

LEA VALDEPENAS BALIGOD

Original Issue Date

11/04/2004

Effective Date

03/12/2015

Expiration Date

03/31/2016

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016