JACQUELINE SHARON BLOMQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143286

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SHARON

Last Name

BLOMQUIST

Business Name

JACQUELINE SHARON BLOMQUIST

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

03/31/2004

City

WEST CHICAGO

State

Zip

60185

Ever Disciplined

LastModifiedDate

10/20/2005