JUANITA M BLY - Pharmacist License in Illinois | # 049206787

JUANITA M BLY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206787

License Status

NOT RENEWED

Business

N

First Name

JUANITA

Middle

M

Last Name

BLY

Prefix

MR

Business Name

JUANITA M BLY

Original Issue Date

09/20/2011

Effective Date

02/25/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014