ROBERTA J BALLEW - Pharmacist License in Kentucky | # 049144701

ROBERTA J BALLEW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144701

License Status

NOT RENEWED

Business

N

First Name

ROBERTA

Middle

J

Last Name

BALLEW

Business Name

ROBERTA J BALLEW

Original Issue Date

09/19/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

KY

Ever Disciplined

N

LastModifiedDate

05/06/2009