AVA ANTHONY BLANDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033450

License Status

NOT RENEWED

Business

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

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

12/06/2005