CRYSTAL ELAINE BALCAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256295

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

ELAINE

Last Name

BALCAZAR

Business Name

CRYSTAL ELAINE BALCAZAR

Original Issue Date

02/21/2018

Effective Date

02/21/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60638

Ever Disciplined

LastModifiedDate

07/15/2019