MIKAELYN GRAYCE BLASSAGE - Pharmacist License in Illinois | # 049235469

MIKAELYN GRAYCE BLASSAGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235469

License Status

NOT RENEWED

Business

N

First Name

MIKAELYN

Middle

GRAYCE

Last Name

BLASSAGE

Business Name

MIKAELYN GRAYCE BLASSAGE

Original Issue Date

08/13/2015

Effective Date

02/25/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017