JAKUB T BALCERZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167112

License Status

NOT RENEWED

Business

First Name

JAKUB

Middle

Last Name

BALCERZAK

Business Name

JAKUB T BALCERZAK

Original Issue Date

03/29/2006

Effective Date

02/09/2010

Expiration Date

03/31/2011

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011