THOMAS J BALLOG - Pharmacist License in Illinois | # 049066512

THOMAS J BALLOG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066512

License Status

NOT RENEWED

Business

N

First Name

THOMAS J

Last Name

BALLOG

Business Name

THOMAS J BALLOG

Original Issue Date

12/10/1976

Effective Date

12/10/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005