ANGELENE MARIE BLAISDELL - Pharmacist License in Illinois | # 049126256

ANGELENE MARIE BLAISDELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126256

License Status

NOT RENEWED

Business

N

First Name

ANGELENE

Middle

MARIE

Last Name

BLAISDELL

Business Name

ANGELENE MARIE BLAISDELL

Original Issue Date

06/08/1999

Effective Date

06/08/1999

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005