MELANIE S BALOG - Pharmacist License in Illinois | # 049101494

MELANIE S BALOG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101494

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005