BLAKE ALLEN CLAYTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149287

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

ALLEN

Last Name

CLAYTON

Business Name

BLAKE ALLEN CLAYTON

Original Issue Date

06/26/2003

Effective Date

02/02/2009

Expiration Date

03/31/2010

City

EQUALITY

State

Zip

62934

County

GALLATIN

Ever Disciplined

LastModifiedDate

05/04/2010