EVAN RANDALL YOUNGBLOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125216

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

RANDALL

Last Name

YOUNGBLOOD

Business Name

EVAN RANDALL YOUNGBLOOD

Original Issue Date

03/30/1999

Effective Date

03/30/1999

Expiration Date

03/31/2000

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005