SUSAN JANE BLAKELEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070029

License Status

NOT RENEWED

Business

First Name

SUSAN JANE

Last Name

BLAKELEY

Business Name

SUSAN JANE BLAKELEY

Original Issue Date

09/01/1978

Effective Date

09/01/1978

Expiration Date

03/31/1987

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005