BALAKRISHNAN BATHALA - Pharmacist License in Illinois | # 049106332

BALAKRISHNAN BATHALA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106332

License Status

NOT RENEWED

Business

N

First Name

BALAKRISHNAN

Last Name

BATHALA

Business Name

BALAKRISHNAN BATHALA

Original Issue Date

03/21/1994

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007