LISA ANN BLAYLOCK - Pharmacist License in Illinois | # 049252089

LISA ANN BLAYLOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252089

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

ANN

Last Name

BLAYLOCK

Business Name

LISA ANN BLAYLOCK

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018