KAYSEN BALA PHARMD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119491

License Status

NOT RENEWED

Business

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

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005