GREGORY DAVID BLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157050

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

DAVID

Last Name

BLOUGH

Business Name

GREGORY DAVID BLOUGH

Original Issue Date

09/01/2004

Effective Date

09/01/2004

Expiration Date

03/31/2005

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005