EDWARD J BALLWEG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051017959

License Status

INACTIVE

Business

First Name

EDWARD J

Last Name

BALLWEG

Business Name

EDWARD J BALLWEG

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005