MARIA REPUBLICA BALLEZA
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
Michigan 5304000240 Active
This Michigan license is held by MARIA REPUBLICA BALLEZA. The license is currently active. It was granted on 08/27/2009 and expired on 06/30/2015
LICENSE DETAILS
- License Number: 5304000240
- Category: Drug Treatment Program Prescriber
- Status: Active
- Date Granted: 08/27/2009 (about 17 years ago)
- Expiry Date: 06/30/2015 (about 11 years ago)
LOCATIONS
A Address
Livonia, MI 48154
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