DONNA M BLAZER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071986

License Status

CANCELLED

Business

First Name

DONNA M

Last Name

BLAZER

Business Name

DONNA M BLAZER

Original Issue Date

10/12/1979

Effective Date

10/12/1979

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005