TACI P BALL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287271

License Status

INACTIVE

Business

First Name

TACI

Middle

Last Name

BALL

Business Name

TACI P BALL

Original Issue Date

08/18/1999

Effective Date

08/18/1999

Expiration Date

03/31/2002

City

BEMIDJI

State

Zip

56601

County

MINNESOTA

Ever Disciplined

LastModifiedDate

12/06/2005