License holder summary

BLAZ MARISA ILYSE is a Pharmacy Technician licensed to practice in California. The address on file for BLAZ MARISA ILYSE is 16525 MORRPARK ST ENCINO CA 91436. This pharmacist license is not current. The license was granted 09/02/2011 and expired on 09/30/2015.

Department of Consumer Affairs

Board of Pharmacy

BLAZ MARISA ILYSE
Pharmacy Technician
License number
115629
Date granted
09/02/2011
Date expires
09/30/2015
Class
Pharmacy Technician
Status
Delinquent
Address
16525 MORRPARK ST ENCINO CA 91436
californiapharmacists.org
ID 11782892
LAST UPDATED 2026-06-09 23:28:17 UTC

This website is unaffiliated with the Board of Pharmacy. Please verify all information directly with the relevant official government authority.

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