DOMINIK D BALDASSARI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236178

License Status

NOT RENEWED

Business

First Name

DOMINIK

Middle

Last Name

BALDASSARI

Prefix

Business Name

DOMINIK D BALDASSARI

Original Issue Date

09/14/2015

Effective Date

09/14/2015

Expiration Date

03/31/2016

City

CARLOCK

State

Zip

61725

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016