BRICE WILLIAM BLATZ - Pharmacist License in Illinois | # 049149011

BRICE WILLIAM BLATZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149011

License Status

NOT RENEWED

Business

N

First Name

BRICE

Middle

WILLIAM

Last Name

BLATZ

Business Name

BRICE WILLIAM BLATZ

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005