LEILANI NICOLE BALDERAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259763

License Status

NOT RENEWED

Business

First Name

LEILANI

Middle

NICOLE

Last Name

BALDERAS

Business Name

LEILANI NICOLE BALDERAS

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

City

JUSTICE

State

Zip

60458

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019