WILLA J BLACKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057856

License Status

NOT RENEWED

Business

First Name

WILLA J

Last Name

BLACKMAN

Business Name

WILLA J BLACKMAN

Original Issue Date

06/10/1972

Effective Date

06/10/1972

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005