NICOLE L BLANAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127682

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BLANAS

Business Name

NICOLE L BLANAS

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

03/31/2000

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005