JOSEPH C BLAZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080884

License Status

NOT RENEWED

Business

First Name

JOSEPH C

Last Name

BLAZEN

Business Name

JOSEPH C BLAZEN

Original Issue Date

03/22/1985

Effective Date

03/22/1985

Expiration Date

03/31/1988

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005