ANGELENE MARIE BLAISDELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126256

License Status

NOT RENEWED

Business

First Name

ANGELENE

Middle

MARIE

Last Name

BLAISDELL

Business Name

ANGELENE MARIE BLAISDELL

Original Issue Date

06/08/1999

Effective Date

06/08/1999

Expiration Date

03/31/2002

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/06/2005