THERESA L BALLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101818

License Status

NOT RENEWED

Business

First Name

THERESA L

Last Name

BALLARD

Business Name

THERESA L BALLARD

Original Issue Date

11/23/1992

Effective Date

11/23/1992

Expiration Date

03/31/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005