CLEMENT R BALTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022137

License Status

NOT RENEWED

Business

First Name

CLEMENT R

Last Name

BALTO

Business Name

CLEMENT R BALTO

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005