RAIZA P BALLENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200698

License Status

NOT RENEWED

Business

First Name

RAIZA

Middle

Last Name

BALLENA

Business Name

RAIZA P BALLENA

Original Issue Date

09/22/2010

Effective Date

03/18/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014