License holder summary

STACI MARIE BALOG is a Pharmacy Intern licensed to practice in Indiana. The address on file for STACI MARIE BALOG is SOUTH BEND IN 46614. This licensed professional license is not current. The license was granted 11/08/1991 and expired on 11/08/1997.

Indiana

Professional Licensing Agency

STACI MARIE BALOG
Pharmacy Intern
License number
45009318A
Date granted
11/08/1991
Date expires
11/08/1997
Class
Pharmacy Intern
Status
Expired
Address
SOUTH BEND IN 46614
indianalicensing.org
ID 8308822
LAST UPDATED 2024-04-07 13:38:55 UTC

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