DAVID RATHBUN BLAZO - Pharmacist License in Indiana | # 051293232

DAVID RATHBUN BLAZO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293232

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

RATHBUN

Last Name

BLAZO

Business Name

DAVID RATHBUN BLAZO

Original Issue Date

05/05/2009

Effective Date

03/08/2022

Expiration Date

03/31/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/05/2025