ALEXANDER M BAILENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162102

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

Last Name

BAILENSON

Business Name

ALEXANDER M BAILENSON

Original Issue Date

07/06/2005

Effective Date

07/06/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006