ERICH BALSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183360

License Status

NOT RENEWED

Business

First Name

ERICH

Last Name

BALSMAN

Business Name

ERICH BALSMAN

Original Issue Date

04/05/2008

Effective Date

01/26/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013