CAROLE R BLIXT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060123

License Status

NOT RENEWED

Business

First Name

CAROLE R

Last Name

BLIXT

Business Name

CAROLE R BLIXT

Original Issue Date

08/24/1973

Effective Date

08/24/1973

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005