BRACEY C BLAIR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173413

License Status

NOT RENEWED

Business

First Name

BRACEY

Middle

Last Name

BLAIR

Business Name

BRACEY C BLAIR

Original Issue Date

12/29/2006

Effective Date

12/29/2006

Expiration Date

03/31/2007

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007