LAURA L BLAYLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084819

License Status

NOT RENEWED

Business

First Name

LAURA L

Last Name

BLAYLOCK

Business Name

LAURA L BLAYLOCK

Original Issue Date

07/18/1987

Effective Date

07/18/1987

Expiration Date

03/31/1998

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005