STEFANIE R BLALOCK - Pharmacist License in Illinois | # 049175496

STEFANIE R BLALOCK

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175496

License Status

INACTIVE

Business

N

First Name

STEFANIE

Middle

R

Last Name

BLALOCK

Business Name

STEFANIE R BLALOCK

Original Issue Date

04/11/2007

Effective Date

04/11/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008