BRIAN PATRICK BALICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147044

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005