LATHE A BLEVINS - Pharmacist License in Illinois | # 049102684

LATHE A BLEVINS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102684

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005