HUGLYN DAYON BALASE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134042

License Status

NOT RENEWED

Business

First Name

HUGLYN

Middle

DAYON

Last Name

BALASE

Business Name

HUGLYN DAYON BALASE

Original Issue Date

12/13/2000

Effective Date

09/05/2007

Expiration Date

03/31/2008

City

PORTLAND

State

Zip

97229

Ever Disciplined

LastModifiedDate

05/02/2008