CHEYENNE BLICKHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199573

License Status

NOT RENEWED

Business

First Name

CHEYENNE

Last Name

BLICKHAN

Business Name

CHEYENNE BLICKHAN

Original Issue Date

07/23/2010

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2013