SCOTT BLASZAK MD - Pharmacist License in Illinois | # 049230347

SCOTT BLASZAK MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230347

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SCOTT

Last Name

BLASZAK

Prefix

MR

Business Name

SCOTT BLASZAK MD

Original Issue Date

01/08/2015

Effective Date

01/08/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016