JENATHA BALLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077119

License Status

NOT RENEWED

Business

First Name

JENATHA

Last Name

BALLARD

Business Name

JENATHA BALLARD

Original Issue Date

10/15/1982

Effective Date

10/15/1982

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005