THEODORE D BLANTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219934

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

BLANTON

Business Name

THEODORE D BLANTON

Original Issue Date

08/12/2013

Effective Date

03/04/2014

Expiration Date

03/31/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015