BALARIA O BAGSBY - Pharmacist License in Indiana | # 049122420

BALARIA O BAGSBY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122420

License Status

NOT RENEWED

Business

N

First Name

BALARIA

Middle

O

Last Name

BAGSBY

Business Name

BALARIA O BAGSBY

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

03/31/2000

State

IN

Ever Disciplined

N

LastModifiedDate

10/21/2005