FITZGERALD BLAISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143716

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008