REBECCA ASHLEY BLAZEJACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260182

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ASHLEY

Last Name

BLAZEJACK

Business Name

REBECCA ASHLEY BLAZEJACK

Original Issue Date

09/26/2018

Effective Date

09/26/2018

Expiration Date

03/31/2019

City

SANDWICH

State

Zip

60548

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/15/2019