KEITH S BALIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030423

License Status

NOT RENEWED

Business

First Name

KEITH S

Last Name

BALIN

Business Name

KEITH S BALIN

Original Issue Date

07/25/1975

Effective Date

07/25/1975

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005