DIANE MARIE BALDUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032309

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

BALDUS

Business Name

DIANE MARIE BALDUS

Original Issue Date

08/17/1978

Effective Date

08/17/1978

Expiration Date

03/31/1988

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005