MARIA REPUBLICA BALLEZA
Pharmacy - Drug Treatment Program Prescriber
Michigan 5304001773 Lapsed
This Michigan license was held by MARIA REPUBLICA BALLEZA. The license is no longer active. It was granted on 02/01/1999 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 5304001773
- Category: Drug Treatment Program Prescriber
- Status: Lapsed
- Date Granted: 02/01/1999 (over 26 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)