IRISS K BLAINE - Pharmacist License in Illinois | # 049142740

IRISS K BLAINE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142740

License Status

NOT RENEWED

Business

N

First Name

IRISS

Middle

K

Last Name

BLAINE

Business Name

IRISS K BLAINE

Original Issue Date

05/30/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

03/12/2012