DONALD L BLANK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025949

License Status

INACTIVE

Business

First Name

DONALD L

Last Name

BLANK

Business Name

DONALD L BLANK

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

GOLD CANYON

State

Zip

85218

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/10/2008