KAYSEN BALA PHARMD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288562

License Status

NOT RENEWED

Business

First Name

KAYSEN

Last Name

BALA

Suffix

PHARMD

Business Name

KAYSEN BALA PHARMD

Original Issue Date

10/09/2001

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

06/10/2008