KENZIE N BALLOW - Pharmacist License in Illinois | # 049170452

KENZIE N BALLOW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170452

License Status

NOT RENEWED

Business

N

First Name

KENZIE

Middle

N

Last Name

BALLOW

Business Name

KENZIE N BALLOW

Original Issue Date

08/07/2006

Effective Date

08/07/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007