CAROL JANE BLACKWELL - Pharmacist License in Illinois | # 049108634

CAROL JANE BLACKWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108634

License Status

NOT RENEWED

Business

N

First Name

CAROL JANE

Last Name

BLACKWELL

Business Name

CAROL JANE BLACKWELL

Original Issue Date

10/27/1994

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009