IRISS K BLAINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142740

License Status

NOT RENEWED

Business

First Name

IRISS

Middle

Last Name

BLAINE

Business Name

IRISS K BLAINE

Original Issue Date

05/30/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

03/12/2012