MICHELLE RENEE BLANTON - Pharmacist License in Illinois | # 049126348

MICHELLE RENEE BLANTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126348

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

RENEE

Last Name

BLANTON

Business Name

MICHELLE RENEE BLANTON

Original Issue Date

06/16/1999

Effective Date

06/16/1999

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005