SANDRA LEE BLACKWELL - Pharmacist License in Illinois | # 049062768

SANDRA LEE BLACKWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062768

License Status

NOT RENEWED

Business

N

First Name

SANDRA LEE

Last Name

BLACKWELL

Business Name

SANDRA LEE BLACKWELL

Original Issue Date

01/10/1975

Effective Date

01/10/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005