JARED A BLAYLOCK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051303330

License Status

ACTIVE

Business

First Name

JARED

Middle

Last Name

BLAYLOCK

Business Name

JARED A BLAYLOCK

Original Issue Date

08/21/2020

Effective Date

01/31/2026

Expiration Date

03/31/2028

City

LEBANON

State

Zip

62254

Ever Disciplined

LastModifiedDate

01/31/2026