JERRY RICHNEL BALTHAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298605

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

RICHNEL

Last Name

BALTHAZAR

Business Name

JERRY RICHNEL BALTHAZAR

Original Issue Date

12/20/2022

Effective Date

03/15/2023

Expiration Date

03/31/2024

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025