TERESA B BLAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076385

License Status

NOT RENEWED

Business

First Name

TERESA B

Last Name

BLAST

Business Name

TERESA B BLAST

Original Issue Date

04/29/1982

Effective Date

04/29/1982

Expiration Date

03/31/1984

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005