MELISSA T BALLAK-MOE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165642

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

BALLAK-MOE

Business Name

MELISSA T BALLAK-MOE

Original Issue Date

12/15/2005

Effective Date

03/06/2015

Expiration Date

03/31/2016

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/20/2016