BALADALE ANTHONY OMOTOYINBO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165072

License Status

NOT RENEWED

Business

First Name

BALADALE

Middle

ANTHONY

Last Name

OMOTOYINBO

Business Name

BALADALE ANTHONY OMOTOYINBO

Original Issue Date

07/21/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008