JACINDA L BLASA - Pharmacist License in Illinois | # 049084935

JACINDA L BLASA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084935

License Status

NOT RENEWED

Business

N

First Name

JACINDA

Middle

L

Last Name

BLASA

Business Name

JACINDA L BLASA

Original Issue Date

08/07/1987

Effective Date

08/07/1987

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005