BRIAN P BLAYLOCK - Pharmacist License in Illinois | # 049185970

BRIAN P BLAYLOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185970

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

P

Last Name

BLAYLOCK

Business Name

BRIAN P BLAYLOCK

Original Issue Date

08/06/2008

Effective Date

03/16/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010