License holder summary

Samantha Marie Blazak is a Pharmacy Technician In-Training licensed to practice in Indiana. The address on file for Samantha Marie Blazak is Valparaiso IN 46383. This licensed professional license is not current. The license was granted 04/23/2013 and expired on 04/23/2014.

Indiana

Professional Licensing Agency

Samantha Marie Blazak
Pharmacy Technician In-Training
License number
99056825A
Date granted
04/23/2013
Date expires
04/23/2014
Class
Pharmacy Technician In-Training
Status
Superceded
Address
Valparaiso IN 46383
indianalicensing.org
ID 8331669
LAST UPDATED 2024-02-16 16:16:41 UTC

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