BRENT C BALVANZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238673

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

BALVANZ

Business Name

BRENT C BALVANZ

Original Issue Date

01/05/2016

Effective Date

03/25/2019

Expiration Date

09/30/2020

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021