HOLLY ANN BALDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186947

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

ANN

Last Name

BALDA

Business Name

HOLLY ANN BALDA

Original Issue Date

09/11/2008

Effective Date

09/11/2008

Expiration Date

03/31/2009

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2009