BERT EDWARD BLYTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053495

License Status

NOT RENEWED

Business

First Name

BERT EDWARD

Last Name

BLYTH

Business Name

BERT EDWARD BLYTH

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005