BRIAN C TABALBA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207129

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

TABALBA

Prefix

Business Name

BRIAN C TABALBA

Original Issue Date

10/05/2011

Effective Date

03/10/2014

Expiration Date

03/31/2015

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/28/2015

Case Number

2014006267

Action

Revocation

Discipline Start Date

05/19/2015

Discipline Reason

for theft of controlled substances.