ROBERTA J BALLEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144701

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

Last Name

BALLEW

Business Name

ROBERTA J BALLEW

Original Issue Date

09/19/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

LOUISVILLE

State

Zip

40258

County

KENTUCKY

Ever Disciplined

LastModifiedDate

05/06/2009