BILLY BRANDT BLAYLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249438

License Status

NOT RENEWED

Business

First Name

BILLY

Middle

BRANDT

Last Name

BLAYLOCK

Business Name

BILLY BRANDT BLAYLOCK

Original Issue Date

03/28/2017

Effective Date

03/21/2018

Expiration Date

03/31/2019

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019