STACIE MARIE BLASEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049302938

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

MARIE

Last Name

BLASEN

Business Name

STACIE MARIE BLASEN

Original Issue Date

06/07/2023

Effective Date

06/07/2023

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025