ROBERT D BLAISDELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103306

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

BLAISDELL

Business Name

ROBERT D BLAISDELL

Original Issue Date

05/03/1993

Effective Date

05/03/1993

Expiration Date

03/31/1997

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005