PHYLLIS M BLANTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155436

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

BLANTON

Business Name

PHYLLIS M BLANTON

Original Issue Date

06/21/2004

Effective Date

09/17/2019

Expiration Date

09/30/2020

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021