SCOTT BLASZAK MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230347

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Last Name

BLASZAK

Prefix

Business Name

SCOTT BLASZAK MD

Original Issue Date

01/08/2015

Effective Date

01/08/2015

Expiration Date

03/31/2016

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016