BRIAN BALWIERZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120158

License Status

NOT RENEWED

Business

First Name

BRIAN

Last Name

BALWIERZ

Business Name

BRIAN BALWIERZ

Original Issue Date

02/27/1998

Effective Date

02/02/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011