MARY ANN C BALLEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160870

License Status

NOT RENEWED

Business

First Name

MARY ANN

Middle

Last Name

BALLEK

Business Name

MARY ANN C BALLEK

Original Issue Date

05/06/2005

Effective Date

02/10/2014

Expiration Date

03/31/2015

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015