ASHLEY NICHOLE BALITAAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159835

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICHOLE

Last Name

BALITAAN

Business Name

ASHLEY NICHOLE BALITAAN

Original Issue Date

04/04/2005

Effective Date

06/07/2007

Expiration Date

03/31/2008

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2008