BLAINE R QUACKENBUSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210265

License Status

NOT RENEWED

Business

First Name

BLAINE

Middle

Last Name

QUACKENBUSH

Prefix

Business Name

BLAINE R QUACKENBUSH

Original Issue Date

04/10/2012

Effective Date

04/10/2012

Expiration Date

03/31/2013

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013