JENNIFER ANN BLACKBOURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137348

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

BLACKBOURN

Business Name

JENNIFER ANN BLACKBOURN

Original Issue Date

07/24/2001

Effective Date

07/24/2001

Expiration Date

03/31/2004

City

LOS OSOS

State

Zip

93402

Ever Disciplined

LastModifiedDate

10/20/2005