MARK THOMAS BIALK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257011

License Status

NOT RENEWED

Business

First Name

MARK

Middle

THOMAS

Last Name

BIALK

Business Name

MARK THOMAS BIALK

Original Issue Date

03/26/2018

Effective Date

03/26/2018

Expiration Date

03/31/2019

City

KENOSHA

State

Zip

53143

Ever Disciplined

LastModifiedDate

07/15/2019