ROY ALFRED BALAZS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145191

License Status

NOT RENEWED

Business

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

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005