CARLOS A BALTAZAR - Pharmacist License in Illinois | # 049240964

CARLOS A BALTAZAR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240964

License Status

NOT RENEWED

Business

N

First Name

CARLOS

Middle

A

Last Name

BALTAZAR

Business Name

CARLOS A BALTAZAR

Original Issue Date

04/11/2016

Effective Date

04/11/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017