KENZIE N BALLOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170452

License Status

NOT RENEWED

Business

First Name

KENZIE

Middle

Last Name

BALLOW

Business Name

KENZIE N BALLOW

Original Issue Date

08/07/2006

Effective Date

08/07/2006

Expiration Date

03/31/2007

City

MURRAYVILLE

State

Zip

62668

County

MORGAN

Ever Disciplined

LastModifiedDate

05/14/2007