MARIO BALTAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207767

License Status

NOT RENEWED

Business

First Name

MARIO

Last Name

BALTAZAR

Business Name

MARIO BALTAZAR

Original Issue Date

11/14/2011

Effective Date

11/14/2011

Expiration Date

03/31/2012

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012