MARIA REPUBLICA BALLEZA
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
Michigan 5304001745 Lapsed
This Michigan license was held by MARIA REPUBLICA BALLEZA. The license is no longer active. It was granted on 04/14/1998 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 5304001745
- Category: Drug Treatment Program Prescriber
- Status: Lapsed
- Date Granted: 04/14/1998 (over 28 years ago)
- Expiry Date: 06/30/1999 (about 27 years ago)
LOCATIONS
A Address
Oak Park, MI 48237