JERRY L BALOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049049220

License Status

NOT RENEWED

Business

First Name

JERRY L

Last Name

BALOK

Business Name

JERRY L BALOK

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

HANOVER PARK

State

Zip

60103

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005