BLAIR RENEE MANNEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125781

License Status

NOT RENEWED

Business

First Name

BLAIR

Middle

RENEE

Last Name

MANNEN

Business Name

BLAIR RENEE MANNEN

Original Issue Date

05/07/1999

Effective Date

05/07/1999

Expiration Date

03/31/2002

City

BONNIE

State

Zip

62816

County

JEFFERSON

Ever Disciplined

LastModifiedDate

12/06/2005