SHIRISHEA KOREN BLAIN - Pharmacist License in Illinois | # 049163680

SHIRISHEA KOREN BLAIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163680

License Status

NOT RENEWED

Business

N

First Name

SHIRISHEA

Middle

KOREN

Last Name

BLAIN

Business Name

SHIRISHEA KOREN BLAIN

Original Issue Date

09/08/2005

Effective Date

09/08/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2007