TERESA DARLENE BLAYLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305359

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

DARLENE

Last Name

BLAYLARK

Business Name

TERESA DARLENE BLAYLARK

Original Issue Date

08/30/2023

Effective Date

08/30/2023

Expiration Date

03/31/2024

City

PHOENIX

State

Zip

85014

Ever Disciplined

LastModifiedDate

01/03/2025