MARY ELLEN BLANK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024790

License Status

INACTIVE

Business

First Name

MARY ELLEN

Last Name

BLANK

Business Name

MARY ELLEN BLANK

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

TORRANCE

State

Zip

90503

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005