DEBORAH BLAGAICH ETZCORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230141

License Status

NOT RENEWED

Business

First Name

DEBORAH

Last Name

BLAGAICH ETZCORN

Business Name

DEBORAH BLAGAICH ETZCORN

Original Issue Date

12/29/2014

Effective Date

12/29/2014

Expiration Date

03/31/2015

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015