LORI A BALLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111967

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

BALLARD

Business Name

LORI A BALLARD

Original Issue Date

09/27/1995

Effective Date

09/27/1995

Expiration Date

03/31/2005

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005