ISABELLE MINTZ BLASDEL Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001442

License Status

CLOSED

Business

Business Name

ISABELLE MINTZ BLASDEL

Original Issue Date

08/22/2005

Effective Date

02/14/2008

Expiration Date

12/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

INDIVIDUAL

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

01/04/2008