TRICIA ANN BLAKESLEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175396

License Status

NOT RENEWED

Business

First Name

TRICIA

Middle

ANN

Last Name

BLAKESLEE

Business Name

TRICIA ANN BLAKESLEE

Original Issue Date

04/06/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2009