DOUGLAS A BLAHETA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095742

License Status

NOT RENEWED

Business

First Name

DOUGLAS A

Last Name

BLAHETA

Business Name

DOUGLAS A BLAHETA

Original Issue Date

02/01/1991

Effective Date

02/01/1991

Expiration Date

03/31/1996

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005