SHIRISHEA KOREN BLAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163680

License Status

NOT RENEWED

Business

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

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

06/06/2007