AIREAN MARIE BLUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157137

License Status

NOT RENEWED

Business

First Name

AIREAN

Middle

MARIE

Last Name

BLUE

Business Name

AIREAN MARIE BLUE

Original Issue Date

09/03/2004

Effective Date

09/03/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005