JERRY L BALOK - Pharmacist License in Illinois | # 049049220

JERRY L BALOK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049049220

License Status

NOT RENEWED

Business

N

First Name

JERRY L

Last Name

BALOK

Business Name

JERRY L BALOK

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005