THEODORE D BLANTON - Pharmacist License in Illinois | # 049219934

THEODORE D BLANTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219934

License Status

NOT RENEWED

Business

N

First Name

THEODORE

Middle

D

Last Name

BLANTON

Business Name

THEODORE D BLANTON

Original Issue Date

08/12/2013

Effective Date

03/04/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015