MARY ELLEN BLANK - Pharmacist License in California | # 051024790

MARY ELLEN BLANK

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024790

License Status

INACTIVE

Business

N

First Name

MARY ELLEN

Last Name

BLANK

Business Name

MARY ELLEN BLANK

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

State

CA

Ever Disciplined

N

LastModifiedDate

10/17/2005