BLAIR E BARDELMEIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234101

License Status

NOT RENEWED

Business

First Name

BLAIR

Middle

Last Name

BARDELMEIER

Business Name

BLAIR E BARDELMEIER

Original Issue Date

06/26/2015

Effective Date

02/04/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021