LINDSAY NICHOLE BLAISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169406

License Status

NOT RENEWED

Business

First Name

LINDSAY

Middle

NICHOLE

Last Name

BLAISE

Business Name

LINDSAY NICHOLE BLAISE

Original Issue Date

06/19/2006

Effective Date

03/23/2010

Expiration Date

03/31/2011

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

05/12/2011