TERESA MONIQUE BLANCO - Pharmacist License in Illinois | # 049158091

TERESA MONIQUE BLANCO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158091

License Status

NOT RENEWED

Business

N

First Name

TERESA

Middle

MONIQUE

Last Name

BLANCO

Business Name

TERESA MONIQUE BLANCO

Original Issue Date

12/02/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007