ASHTON B BALLINGER MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161128

License Status

NOT RENEWED

Business

Title

First Name

ASHTON

Middle

Last Name

BALLINGER

Business Name

ASHTON B BALLINGER MD

Original Issue Date

05/18/2005

Effective Date

03/22/2011

Expiration Date

03/31/2012

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/07/2012