CARLA R BLAYLOCK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075739

License Status

ACTIVE

Business

First Name

CARLA R

Last Name

BLAYLOCK

Business Name

CARLA R BLAYLOCK

Original Issue Date

12/18/1981

Effective Date

03/01/2026

Expiration Date

03/31/2027

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2026