GAIL J BLACKFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059336

License Status

NOT RENEWED

Business

First Name

GAIL J

Last Name

BLACKFORD

Business Name

GAIL J BLACKFORD

Original Issue Date

04/04/1973

Effective Date

04/04/1973

Expiration Date

03/31/1994

City

NEW ATHENS

State

Zip

62264

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005