SUSAN L BALLARD - Pharmacist License in Illinois | # 049095200

SUSAN L BALLARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095200

License Status

NOT RENEWED

Business

N

First Name

SUSAN L

Last Name

BALLARD

Business Name

SUSAN L BALLARD

Original Issue Date

12/05/1990

Effective Date

12/05/1990

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005