PERCY BLAIR JR III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101910

License Status

NOT RENEWED

Business

First Name

PERCY

Last Name

BLAIR JR III

Business Name

PERCY BLAIR JR III

Original Issue Date

12/07/1992

Effective Date

12/07/1992

Expiration Date

03/31/1998

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005