JEANNE C BLAGOUE HARRIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032150

License Status

INACTIVE

Business

First Name

JEANNE C BLAGOUE

Last Name

HARRIS

Business Name

JEANNE C BLAGOUE HARRIS

Original Issue Date

08/17/1978

Effective Date

08/17/1978

Expiration Date

03/31/1986

City

SHOW LOW

State

Zip

85901

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005