KARA J BLAYLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116853

License Status

NOT RENEWED

Business

First Name

KARA

Middle

Last Name

BLAYLOCK

Business Name

KARA J BLAYLOCK

Original Issue Date

03/19/1997

Effective Date

03/19/1997

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005