CHASTADY M BLEICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131935

License Status

NOT RENEWED

Business

First Name

CHASTADY

Middle

Last Name

BLEICH

Business Name

CHASTADY M BLEICH

Original Issue Date

07/31/2000

Effective Date

07/31/2000

Expiration Date

03/31/2005

City

RANKIN

State

Zip

60960

County

FORD

Ever Disciplined

LastModifiedDate

10/20/2005