MARC D BLANCADA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153784

License Status

NOT RENEWED

Business

First Name

MARC

Middle

Last Name

BLANCADA

Business Name

MARC D BLANCADA

Original Issue Date

03/19/2004

Effective Date

03/04/2010

Expiration Date

03/31/2011

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011