RAFAEL ERNESTO CARBALLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180434

License Status

NOT RENEWED

Business

First Name

RAFAEL

Middle

ERNESTO

Last Name

CARBALLO

Business Name

RAFAEL ERNESTO CARBALLO

Original Issue Date

11/07/2007

Effective Date

11/07/2007

Expiration Date

03/31/2008

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008