BRIAN ROBERT BLEVINS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244676

License Status

INACTIVE

Business

First Name

BRIAN

Middle

ROBERT

Last Name

BLEVINS

Business Name

BRIAN ROBERT BLEVINS

Original Issue Date

09/14/2016

Effective Date

01/21/2020

Expiration Date

03/31/2021

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

01/10/2021