BLAIR N WYNN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163173

License Status

NOT RENEWED

Business

First Name

BLAIR

Middle

Last Name

WYNN

Business Name

BLAIR N WYNN

Original Issue Date

08/23/2005

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/15/2019