BENJAMIN D BLITZBLAU - Pharmacist License in Illinois | # 049127905

BENJAMIN D BLITZBLAU

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127905

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

D

Last Name

BLITZBLAU

Business Name

BENJAMIN D BLITZBLAU

Original Issue Date

10/15/1999

Effective Date

03/10/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007