MARIAH ALEXANDRA BLANKENSHIP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252581

License Status

NOT RENEWED

Business

First Name

MARIAH

Middle

ALEXANDRA

Last Name

BLANKENSHIP

Business Name

MARIAH ALEXANDRA BLANKENSHIP

Original Issue Date

08/25/2017

Effective Date

01/24/2019

Expiration Date

09/30/2020

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

01/08/2021