DONNA LATRICE BALLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145826

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

LATRICE

Last Name

BALLARD

Business Name

DONNA LATRICE BALLARD

Original Issue Date

11/14/2002

Effective Date

11/14/2002

Expiration Date

03/31/2003

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005