CYNTHIA BALLANTINE - Pharmacist License in Illinois | # 049063540

CYNTHIA BALLANTINE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063540

License Status

NOT RENEWED

Business

N

First Name

CYNTHIA

Last Name

BALLANTINE

Business Name

CYNTHIA BALLANTINE

Original Issue Date

05/30/1975

Effective Date

05/30/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005