KELLY J BLYTHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161930

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BLYTHE

Business Name

KELLY J BLYTHE

Original Issue Date

06/27/2005

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010