DONNA LATRICE BALLARD - Pharmacist License in Illinois | # 049145826

DONNA LATRICE BALLARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145826

License Status

NOT RENEWED

Business

N

First Name

DONNA

Middle

LATRICE

Last Name

BALLARD

Business Name

DONNA LATRICE BALLARD

Original Issue Date

11/14/2002

Effective Date

11/14/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005