THOMAS BLACINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121499

License Status

NOT RENEWED

Business

First Name

THOMAS

Last Name

BLACINE

Business Name

THOMAS BLACINE

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

03/31/1999

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005