MELISSA E BALTAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178540

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

BALTAZAR

Business Name

MELISSA E BALTAZAR

Original Issue Date

08/17/2007

Effective Date

01/21/2009

Expiration Date

03/31/2010

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010