VANESSA ROSEMARIE BALAGTAS AXIBAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171393

License Status

NOT RENEWED

Business

First Name

VANESSA ROSEMARIE

Middle

BALAGTAS

Last Name

AXIBAL

Business Name

VANESSA ROSEMARIE BALAGTAS AXIBAL

Original Issue Date

09/15/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BOLINGBROOK

State

Zip

60440

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009