ANDREW D BLAZEJAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093026

License Status

NOT RENEWED

Business

First Name

ANDREW D

Last Name

BLAZEJAK

Business Name

ANDREW D BLAZEJAK

Original Issue Date

05/05/1990

Effective Date

05/05/1990

Expiration Date

03/31/1996

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005