DEVIN L BALSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198140

License Status

NOT RENEWED

Business

First Name

DEVIN

Middle

Last Name

BALSMAN

Business Name

DEVIN L BALSMAN

Original Issue Date

05/03/2010

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015