SANDRA L BLAZEJ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071185

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

BLAZEJ

Business Name

SANDRA L BLAZEJ

Original Issue Date

05/25/1979

Effective Date

05/25/1979

Expiration Date

03/31/1986

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005