DAVID P BLAHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240482

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

BLAHA

Prefix

Business Name

DAVID P BLAHA

Original Issue Date

03/26/2016

Effective Date

03/26/2016

Expiration Date

03/31/2017

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017