TYRAN FITZGERALD BLANKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264532

License Status

NOT RENEWED

Business

First Name

TYRAN

Middle

FITZGERALD

Last Name

BLANKS

Business Name

TYRAN FITZGERALD BLANKS

Original Issue Date

04/13/2019

Effective Date

04/13/2019

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62221

County

ADAMS

Ever Disciplined

LastModifiedDate

01/08/2021