DEZERAE DANIELLE BLAIR - Pharmacist License in Illinois | # 049293136

DEZERAE DANIELLE BLAIR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293136

License Status

NOT RENEWED

Business

N

First Name

DEZERAE

Middle

DANIELLE

Last Name

BLAIR

Business Name

DEZERAE DANIELLE BLAIR

Original Issue Date

06/09/2022

Effective Date

06/09/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023