HEATHER VARGO BALLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110811

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

VARGO

Last Name

BALLACK

Business Name

HEATHER VARGO BALLACK

Original Issue Date

06/12/1995

Effective Date

06/12/1995

Expiration Date

03/31/1999

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005