DOUGLAS DR BLAASE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225076

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

BLAASE

Prefix

Business Name

DOUGLAS DR BLAASE

Original Issue Date

05/08/2014

Effective Date

05/08/2014

Expiration Date

03/31/2015

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/11/2015