CARLOS A BALTAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240964

License Status

NOT RENEWED

Business

First Name

CARLOS

Middle

Last Name

BALTAZAR

Business Name

CARLOS A BALTAZAR

Original Issue Date

04/11/2016

Effective Date

04/11/2016

Expiration Date

03/31/2017

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017