AUSTIN BRYANT BALLEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300229

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

BRYANT

Last Name

BALLEW

Business Name

AUSTIN BRYANT BALLEW

Original Issue Date

03/23/2017

Effective Date

03/03/2020

Expiration Date

07/31/2022

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022