ROY ALFRED BALAZS - Pharmacist License in Illinois | # 049145191

ROY ALFRED BALAZS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145191

License Status

NOT RENEWED

Business

N

First Name

ROY

Middle

ALFRED

Last Name

BALAZS

Business Name

ROY ALFRED BALAZS

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005