MICHAEL DAVID BALCER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150119

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

BALCER

Business Name

MICHAEL DAVID BALCER

Original Issue Date

08/21/2003

Effective Date

01/20/2011

Expiration Date

03/31/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012