ETHAN JAMES BALLARD Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049324406

License Status

ACTIVE

Business

First Name

ETHAN

Middle

JAMES

Last Name

BALLARD

Business Name

ETHAN JAMES BALLARD

Original Issue Date

09/23/2025

Effective Date

02/23/2026

Expiration Date

03/31/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/23/2026