QUANITA T BLALOCK - Pharmacist License in Illinois | # 049160949

QUANITA T BLALOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160949

License Status

NOT RENEWED

Business

N

First Name

QUANITA

Middle

T

Last Name

BLALOCK

Business Name

QUANITA T BLALOCK

Original Issue Date

05/12/2005

Effective Date

06/15/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012