MARY CLAIRE BALAGNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035618

License Status

NOT RENEWED

Business

First Name

MARY CLAIRE

Last Name

BALAGNA

Business Name

MARY CLAIRE BALAGNA

Original Issue Date

12/19/1984

Effective Date

12/19/1984

Expiration Date

03/31/2002

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

12/06/2005