Clayton Ellis Ballard
ExpiredIllinois license 049138458
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049138458
- Status
- Expired (Not Renewed)
- First issued
- September 25, 2001
- Expired
- March 31, 2003
- License holder
- Clayton Ellis Ballard
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/25/2001
Contact
Rockford, IL 61108
Winnebago County