MANUEL T BALAGTAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066843

License Status

NOT RENEWED

Business

First Name

MANUEL T

Last Name

BALAGTAS

Business Name

MANUEL T BALAGTAS

Original Issue Date

02/25/1977

Effective Date

02/25/1977

Expiration Date

03/31/1992

City

HAMMOND

State

Zip

46327

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005