MARY A M BLAHA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021746

License Status

INACTIVE

Business

First Name

MARY A M

Last Name

BLAHA

Business Name

MARY A M BLAHA

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005