BRUCE W BLAZIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031250

License Status

NOT RENEWED

Business

First Name

BRUCE W

Last Name

BLAZIER

Business Name

BRUCE W BLAZIER

Original Issue Date

11/19/1976

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010