BLAYNE PAUL FLECK - Pharmacist License in Illinois | # 049143754

BLAYNE PAUL FLECK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143754

License Status

NOT RENEWED

Business

N

First Name

BLAYNE

Middle

PAUL

Last Name

FLECK

Business Name

BLAYNE PAUL FLECK

Original Issue Date

07/18/2002

Effective Date

07/18/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005