BENJAMIN A BALLESTAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189856

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

BALLESTAR

Business Name

BENJAMIN A BALLESTAR

Original Issue Date

02/24/2009

Effective Date

01/27/2010

Expiration Date

03/31/2011

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011