BROOKE M BLAZEVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186202

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

BLAZEVICH

Business Name

BROOKE M BLAZEVICH

Original Issue Date

08/14/2008

Effective Date

01/11/2011

Expiration Date

03/31/2012

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012