KIM RAE BLAGOUE - Pharmacist License in Illinois | # 049138459

KIM RAE BLAGOUE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138459

License Status

NOT RENEWED

Business

N

First Name

KIM

Middle

RAE

Last Name

BLAGOUE

Business Name

KIM RAE BLAGOUE

Original Issue Date

09/26/2001

Effective Date

03/23/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010