JACQUELINE K BLANKS - Pharmacist License in Illinois | # 049123807

JACQUELINE K BLANKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123807

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

K

Last Name

BLANKS

Business Name

JACQUELINE K BLANKS

Original Issue Date

11/17/1998

Effective Date

11/17/1998

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005