ELISA LYNNE AGBAYANI BALANAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250326

License Status

NOT RENEWED

Business

First Name

ELISA LYNNE

Middle

AGBAYANI

Last Name

BALANAY

Business Name

ELISA LYNNE AGBAYANI BALANAY

Original Issue Date

05/03/2017

Effective Date

05/03/2017

Expiration Date

03/31/2018

City

SOUTH JORDAN

State

Zip

84095

Ever Disciplined

LastModifiedDate

06/19/2018