DEANNA R BALLANTINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094502

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

Last Name

BALLANTINE

Business Name

DEANNA R BALLANTINE

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

03/31/1994

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005