MARIA REPUBLICA BALLEZA
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
Michigan 5304000085 Lapsed
This Michigan license was held by MARIA REPUBLICA BALLEZA. The license is no longer active. It was granted on 04/20/2004 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 5304000085
- Category: Drug Treatment Program Prescriber
- Status: Lapsed
- Date Granted: 04/20/2004 (over 22 years ago)
- Expiry Date: 06/30/2009 (about 17 years ago)
LOCATIONS
A Address
Roseville, MI 48066