GRANT BLAZINA - Pharmacist License in Illinois | # 049191131

GRANT BLAZINA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191131

License Status

NOT RENEWED

Business

N

First Name

GRANT

Last Name

BLAZINA

Business Name

GRANT BLAZINA

Original Issue Date

04/17/2009

Effective Date

01/19/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011