Last Updated: 12/23/2024 5:22:52 AM
Pharmacist Detail
Name |
STACI-MARIE BALOG NORMAN |
Type |
Doctor of Pharmacy |
Number |
11741 |
Class |
Active |
City, State, Zip |
SOUTH BEND,IN 46614 |
Status |
CANCELED |
Issue Date |
09/29/1994 |
Renewed Date |
07/23/1998 |
Expire Date |
06/30/1999 |
End Date |
08/16/1999 |
Preceptor? |
No |
Immunization? |
No |
Disciplinary
Action
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column.
Case Date | Case Number |
No Disciplinary Action | |