JEFF ALAN BLISS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177139

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

ALAN

Last Name

BLISS

Business Name

JEFF ALAN BLISS

Original Issue Date

06/15/2007

Effective Date

06/15/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008