DEBRA M BLAZEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098657

License Status

NOT RENEWED

Business

First Name

DEBRA M

Last Name

BLAZEK

Business Name

DEBRA M BLAZEK

Original Issue Date

11/12/1991

Effective Date

11/12/1991

Expiration Date

03/31/1993

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005