MARIA REPUBLICA BALLEZA
Pharmacy - Drug Treatment Program Prescriber
Michigan 5304001644 Lapsed
This Michigan license was held by MARIA REPUBLICA BALLEZA. The license is no longer active. It was granted on 09/06/1995 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 5304001644
- Category: Drug Treatment Program Prescriber
- Status: Lapsed
- Date Granted: 09/06/1995 (almost 31 years ago)
- Expiry Date: 06/30/2007 (about 19 years ago)