Pharmacist
PHARMACY TECHNICIAN
049235759
NOT RENEWED
N
MARIE
BALTHAZAR
MARIE BALTHAZAR
08/24/2015
06/28/2018
03/31/2019
CHICAGO
IL
60617
COOK
Y
07/15/2019
2019003287
Suspension
07/09/2019
08/16/2023
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/17/2023.