BASIRAT ROMOKE BALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153889

License Status

NOT RENEWED

Business

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

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005