SUSAN A BLANKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077353

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005