SUSAN A BLANKS - Pharmacist License in Illinois | # 049077353

SUSAN A BLANKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077353

License Status

NOT RENEWED

Business

N

First Name

SUSAN A

Last Name

BLANKS

Business Name

SUSAN A BLANKS

Original Issue Date

11/19/1982

Effective Date

11/19/1982

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005