JACQUELINE K BLANKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123807

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

BLANKS

Business Name

JACQUELINE K BLANKS

Original Issue Date

11/17/1998

Effective Date

11/17/1998

Expiration Date

03/31/2002

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005