AVA ANTHONY BLANDON - Pharmacist License in Illinois | # 051033450

AVA ANTHONY BLANDON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033450

License Status

NOT RENEWED

Business

N

First Name

AVA

Middle

ANTHONY

Last Name

BLANDON

Business Name

AVA ANTHONY BLANDON

Original Issue Date

11/12/1980

Effective Date

11/12/1980

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005