Wisconsin
Department of Safety and Professional Services
Blaylock, Russell M
Pharmacist
License number
12607-40
Date granted
04/18/1997
Date expires
05/31/2016
Class
Pharmacist
Status
Active
wisconsinlicensing.org
ID 35890757
LAST UPDATED 2026-05-16 22:19:03 UTC
LAST UPDATED 2026-05-16 22:19:03 UTC
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