License holder summary

MARIA REPUBLICA BALLEZA is a Pharmacist, Pharmacies - Drug Treatment Program Prescriber licensed to practice in Michigan. The address on file for MARIA REPUBLICA BALLEZA is Livonia, MI 48154. This licensed professional license is current. The license was granted 08/27/2009 and expired on 06/30/2015.

Michigan

Department of Licensing and Regulation

MARIA REPUBLICA BALLEZA
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
License number
5304000240
Date granted
08/27/2009
Date expires
06/30/2015
Class
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
Status
Active
Address
Livonia, MI 48154
michiganlicensing.org
ID 25918804
LAST UPDATED 2024-02-29 19:18:09 UTC

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