GARY PHILLIP BIALK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161102

License Status

NOT RENEWED

Business

First Name

GARY

Middle

PHILLIP

Last Name

BIALK

Business Name

GARY PHILLIP BIALK

Original Issue Date

05/17/2005

Effective Date

05/17/2005

Expiration Date

03/31/2006

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006