KATHRYN C BLASIOLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168814

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

BLASIOLI

Business Name

KATHRYN C BLASIOLI

Original Issue Date

05/22/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008