AMBER MARIE BLACKWELL - Pharmacist License in Illinois | # 049141974

AMBER MARIE BLACKWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141974

License Status

NOT RENEWED

Business

N

First Name

AMBER

Middle

MARIE

Last Name

BLACKWELL

Business Name

AMBER MARIE BLACKWELL

Original Issue Date

04/22/2002

Effective Date

04/22/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005