BRENTON D BIALIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201110

License Status

NOT RENEWED

Business

First Name

BRENTON

Middle

Last Name

BIALIK

Business Name

BRENTON D BIALIK

Original Issue Date

10/18/2010

Effective Date

02/18/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015