KELLY M BLASZCZYK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125514

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BLASZCZYK

Business Name

KELLY M BLASZCZYK

Original Issue Date

04/20/1999

Effective Date

04/07/2008

Expiration Date

03/31/2009

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2009