BLAINE M VERNON - Pharmacist License in Illinois | # 049214061

BLAINE M VERNON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214061

License Status

NOT RENEWED

Business

N

First Name

BLAINE

Middle

M

Last Name

VERNON

Prefix

MR

Business Name

BLAINE M VERNON

Original Issue Date

10/16/2012

Effective Date

03/26/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015