GARY WALTER BLAZEJEWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121482

License Status

NOT RENEWED

Business

First Name

GARY

Middle

WALTER

Last Name

BLAZEJEWSKI

Business Name

GARY WALTER BLAZEJEWSKI

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

03/31/1999

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005