JOSEPH MONTGOMERY BALLENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194914

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

MONTGOMERY

Last Name

BALLENGER

Business Name

JOSEPH MONTGOMERY BALLENGER

Original Issue Date

10/19/2009

Effective Date

01/21/2011

Expiration Date

03/31/2012

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012