SUSAN E BALCERZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077681

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

BALCERZAK

Business Name

SUSAN E BALCERZAK

Original Issue Date

01/24/1983

Effective Date

01/24/1983

Expiration Date

03/31/1986

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005