BLAINE ROBERT HAJOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139167

License Status

NOT RENEWED

Business

First Name

BLAINE

Middle

ROBERT

Last Name

HAJOK

Business Name

BLAINE ROBERT HAJOK

Original Issue Date

11/09/2001

Effective Date

11/09/2001

Expiration Date

03/31/2002

City

BENTONVILLE

State

Zip

72712

County

ARKANSAS

Ever Disciplined

LastModifiedDate

12/06/2005