KELLY J BLYTHE - Pharmacist License in Illinois | # 049161930

KELLY J BLYTHE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161930

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

J

Last Name

BLYTHE

Business Name

KELLY J BLYTHE

Original Issue Date

06/27/2005

Effective Date

03/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010