TERESA B BLAST - Pharmacist License in Illinois | # 049076385

TERESA B BLAST

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076385

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005