BLAIR E CHESTNUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171398

License Status

NOT RENEWED

Business

First Name

BLAIR

Middle

Last Name

CHESTNUT

Business Name

BLAIR E CHESTNUT

Original Issue Date

09/15/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008