License Directory

Thomas Raymond Blaylock

Active

California 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
San Bernardino County