PEGGY LYNN BALBOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199803

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

LYNN

Last Name

BALBOA

Business Name

PEGGY LYNN BALBOA

Original Issue Date

08/06/2010

Effective Date

02/01/2012

Expiration Date

03/31/2013

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013