JUANITA M BLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206787

License Status

NOT RENEWED

Business

First Name

JUANITA

Middle

Last Name

BLY

Prefix

Business Name

JUANITA M BLY

Original Issue Date

09/20/2011

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/06/2014