DEKOVEN M BLANCHARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157416

License Status

NOT RENEWED

Business

First Name

DEKOVEN

Middle

Last Name

BLANCHARD

Business Name

DEKOVEN M BLANCHARD

Original Issue Date

10/12/2004

Effective Date

10/12/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006