BALARIA O BAGSBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122420

License Status

NOT RENEWED

Business

First Name

BALARIA

Middle

Last Name

BAGSBY

Business Name

BALARIA O BAGSBY

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

03/31/2000

City

LAFAYETTE

State

Zip

47901

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005