FITZGERALD BLAISE - Pharmacist License in Illinois | # 049143716

FITZGERALD BLAISE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143716

License Status

NOT RENEWED

Business

N

First Name

FITZGERALD

Last Name

BLAISE

Business Name

FITZGERALD BLAISE

Original Issue Date

07/17/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008