GARY M BLACKMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039494

License Status

NOT RENEWED

Business

First Name

GARY M

Last Name

BLACKMON

Business Name

GARY M BLACKMON

Original Issue Date

10/08/1993

Effective Date

03/19/2014

Expiration Date

03/31/2016

City

PORT ST LUCIE

State

Zip

34983

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/20/2016