KATIE L BLACKWELL - Pharmacist License in Illinois | # 049133643

KATIE L BLACKWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133643

License Status

NOT RENEWED

Business

N

First Name

KATIE

Middle

L

Last Name

BLACKWELL

Business Name

KATIE L BLACKWELL

Original Issue Date

11/16/2000

Effective Date

03/31/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011