LATHE A BLEVINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102684

License Status

NOT RENEWED

Business

First Name

LATHE A

Last Name

BLEVINS

Business Name

LATHE A BLEVINS

Original Issue Date

03/13/1993

Effective Date

03/13/1993

Expiration Date

03/31/1994

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005