KAYSEN BALA PHARMD - Pharmacist License in Illinois | # 049119491

KAYSEN BALA PHARMD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119491

License Status

NOT RENEWED

Business

N

First Name

KAYSEN

Last Name

BALA

Suffix

PHARMD

Business Name

KAYSEN BALA PHARMD

Original Issue Date

12/04/1997

Effective Date

12/04/1997

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005