BENJAMIN JACOB BLODGETT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292211

License Status

INACTIVE

Business

First Name

BENJAMIN

Middle

JACOB

Last Name

BLODGETT

Business Name

BENJAMIN JACOB BLODGETT

Original Issue Date

10/10/2007

Effective Date

10/10/2007

Expiration Date

03/31/2008

City

LA QUINTA

State

Zip

92248

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/10/2008