ROGER D BALLMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036857

License Status

NOT RENEWED

Business

First Name

ROGER D

Last Name

BALLMER

Business Name

ROGER D BALLMER

Original Issue Date

12/15/1987

Effective Date

12/15/1987

Expiration Date

03/31/2004

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/06/2005