CORY M BALLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187225

License Status

NOT RENEWED

Business

First Name

CORY

Middle

Last Name

BALLARD

Prefix

Business Name

CORY M BALLARD

Original Issue Date

09/23/2008

Effective Date

09/23/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009