DEONE RAE BLAZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073772

License Status

NOT RENEWED

Business

First Name

DEONE RAE

Last Name

BLAZEN

Business Name

DEONE RAE BLAZEN

Original Issue Date

10/24/1980

Effective Date

10/24/1980

Expiration Date

03/31/1993

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005