DANIEL M BALTRUSIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190069

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

BALTRUSIS

Business Name

DANIEL M BALTRUSIS

Original Issue Date

03/05/2009

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012