EILEEN DIBALSAMO - Pharmacist License in Illinois | # 049242397

EILEEN DIBALSAMO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242397

License Status

NOT RENEWED

Business

N

First Name

EILEEN

Last Name

DIBALSAMO

Business Name

EILEEN DIBALSAMO

Original Issue Date

06/13/2016

Effective Date

06/13/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017