MICHELLE RENEE BLANTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126348

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

RENEE

Last Name

BLANTON

Business Name

MICHELLE RENEE BLANTON

Original Issue Date

06/16/1999

Effective Date

06/16/1999

Expiration Date

03/31/2001

City

RANSOM

State

Zip

60470

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005