RegDetail

Last Updated:  11/3/2024 5:20:47 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
Click on any of the Underlined headings to sort by that column.
Case Date   Case Number  
No Disciplinary Action 
 

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