BRIAN PATRICK BALICK - Pharmacist License in Illinois | # 049147044

BRIAN PATRICK BALICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147044

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

PATRICK

Last Name

BALICK

Business Name

BRIAN PATRICK BALICK

Original Issue Date

02/14/2003

Effective Date

02/14/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005