EILEEN DIBALSAMO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242397

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017