STEFANIE R BLALOCK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175496

License Status

INACTIVE

Business

First Name

STEFANIE

Middle

Last Name

BLALOCK

Business Name

STEFANIE R BLALOCK

Original Issue Date

04/11/2007

Effective Date

04/11/2007

Expiration Date

03/31/2008

City

SENECA

State

Zip

61360

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/10/2008