AMY SMITH BLAISE - Pharmacist License in Illinois | # 049094457

AMY SMITH BLAISE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094457

License Status

NOT RENEWED

Business

N

First Name

AMY

Last Name

SMITH BLAISE

Business Name

AMY SMITH BLAISE

Original Issue Date

10/06/1990

Effective Date

10/06/1990

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005