BLAINE M VILLARREAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184994

License Status

NOT RENEWED

Business

First Name

BLAINE

Middle

Last Name

VILLARREAL

Business Name

BLAINE M VILLARREAL

Original Issue Date

06/17/2008

Effective Date

02/14/2014

Expiration Date

03/31/2015

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/11/2015