ROSEBEL BLAGOUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102913

License Status

NOT RENEWED

Business

First Name

ROSEBEL

Last Name

BLAGOUE

Business Name

ROSEBEL BLAGOUE

Original Issue Date

03/30/1993

Effective Date

03/30/1993

Expiration Date

03/31/1995

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005