MELANIE S BALOG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101494

License Status

NOT RENEWED

Business

First Name

MELANIE S

Last Name

BALOG

Business Name

MELANIE S BALOG

Original Issue Date

10/13/1992

Effective Date

10/13/1992

Expiration Date

03/31/1995

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005