CAMILLA A BLANKS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165646

License Status

INACTIVE

Business

First Name

CAMILLA

Middle

Last Name

BLANKS

Business Name

CAMILLA A BLANKS

Original Issue Date

12/15/2005

Effective Date

02/13/2009

Expiration Date

03/31/2010

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/12/2010