JACINDA L BLASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084935

License Status

NOT RENEWED

Business

First Name

JACINDA

Middle

Last Name

BLASA

Business Name

JACINDA L BLASA

Original Issue Date

08/07/1987

Effective Date

08/07/1987

Expiration Date

03/31/1992

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005