MICHAEL W BALOUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086867

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

BALOUN

Business Name

MICHAEL W BALOUN

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

03/31/1990

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005