Susan L Ballard
ExpiredIllinois license 049095200
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049095200
- Status
- Expired (Not Renewed)
- First issued
- December 5, 1990
- Expired
- March 31, 1993
- License holder
- Susan L Ballard
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/05/1990
Contact
Roscoe, IL 61073
Winnebago County