DEZERAE DANIELLE BLAIR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293136

License Status

NOT RENEWED

Business

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

City

ELIZABETHTOWN

State

Zip

62931

County

ADAMS

Ever Disciplined

LastModifiedDate

09/07/2023