BASIRAT ROMOKE BALE - Pharmacist License in Illinois | # 049153889

BASIRAT ROMOKE BALE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153889

License Status

NOT RENEWED

Business

N

First Name

BASIRAT

Middle

ROMOKE

Last Name

BALE

Business Name

BASIRAT ROMOKE BALE

Original Issue Date

03/25/2004

Effective Date

03/25/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005