TERESA MONIQUE BLANCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158091

License Status

NOT RENEWED

Business

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

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/14/2007