KEITH EDWARD BALLINGER - Pharmacist License in Illinois | # 049122904

KEITH EDWARD BALLINGER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122904

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

EDWARD

Last Name

BALLINGER

Business Name

KEITH EDWARD BALLINGER

Original Issue Date

09/25/1998

Effective Date

09/25/1998

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005