BLAISE M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228657

License Status

NOT RENEWED

Business

First Name

BLAISE

Middle

Last Name

SMITH

Business Name

BLAISE M SMITH

Original Issue Date

10/20/2014

Effective Date

10/20/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015