QUANITA T BLALOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160949

License Status

NOT RENEWED

Business

First Name

QUANITA

Middle

Last Name

BLALOCK

Business Name

QUANITA T BLALOCK

Original Issue Date

05/12/2005

Effective Date

06/15/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012