DONALD L BLANK - Pharmacist License in Arizona | # 051025949

DONALD L BLANK

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025949

License Status

INACTIVE

Business

N

First Name

DONALD L

Last Name

BLANK

Business Name

DONALD L BLANK

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

AZ

Ever Disciplined

N

LastModifiedDate

01/10/2008