MARC D BLANCADA - Pharmacist License in Illinois | # 049153784

MARC D BLANCADA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153784

License Status

NOT RENEWED

Business

N

First Name

MARC

Middle

D

Last Name

BLANCADA

Business Name

MARC D BLANCADA

Original Issue Date

03/19/2004

Effective Date

03/04/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011