MARION EDYTHE BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061275

License Status

NOT RENEWED

Business

First Name

MARION EDYTHE

Last Name

BLACKBURN

Business Name

MARION EDYTHE BLACKBURN

Original Issue Date

04/08/1974

Effective Date

04/08/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005