BENJAMIN CARL BLITSTEIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150589

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

CARL

Last Name

BLITSTEIN

Business Name

BENJAMIN CARL BLITSTEIN

Original Issue Date

09/17/2003

Effective Date

09/17/2003

Expiration Date

03/31/2005

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005