CHAD A BALLARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245734

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

BALLARD

Business Name

CHAD A BALLARD

Original Issue Date

10/25/2016

Effective Date

10/25/2016

Expiration Date

03/31/2017

City

GERMANTOWN HILLS

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/10/2017