ANGELA KAY BLEVINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152988

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

KAY

Last Name

BLEVINS

Business Name

ANGELA KAY BLEVINS

Original Issue Date

01/23/2004

Effective Date

01/23/2004

Expiration Date

03/31/2005

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/20/2005