JARED A BLAYLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234091

License Status

NOT RENEWED

Business

First Name

JARED

Middle

Last Name

BLAYLOCK

Business Name

JARED A BLAYLOCK

Original Issue Date

06/26/2015

Effective Date

02/03/2016

Expiration Date

03/31/2017

City

LEBANON

State

Zip

62254

Ever Disciplined

LastModifiedDate

05/10/2017