Thomas Raymond Blaylock
ActiveCalifornia license 14834
License
- Licensed by
- California State Board of Pharmacy
- License number
- 14834
- Status
- Active
- First issued
- March 4, 1999
- Expires
- March 1, 2027
- License holder
- Thomas Raymond Blaylock
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Auburn University (alabama)
- Year graduated
- 1999
- Degree
- Degree Not Applicable
Contact
6995 Basswood Pl
Rancho Cucamonga, CA 91739
Rancho Cucamonga, CA 91739
San Bernardino County