CAROLYN ELAINE BLACKWELL - Pharmacist License in Illinois | # 049080175

CAROLYN ELAINE BLACKWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080175

License Status

NOT RENEWED

Business

N

First Name

CAROLYN ELAINE

Last Name

BLACKWELL

Business Name

CAROLYN ELAINE BLACKWELL

Original Issue Date

08/28/1984

Effective Date

08/28/1984

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005