ZACKARY DOUGLAS JAMES BALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257061

License Status

NOT RENEWED

Business

First Name

ZACKARY

Middle

DOUGLAS JAMES

Last Name

BALE

Business Name

ZACKARY DOUGLAS JAMES BALE

Original Issue Date

03/28/2018

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/15/2019