VICTORIA LEE BLASSINGAME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121224

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

LEE

Last Name

BLASSINGAME

Business Name

VICTORIA LEE BLASSINGAME

Original Issue Date

05/27/1998

Effective Date

05/27/1998

Expiration Date

03/31/1999

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005