SANDRA LEE BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062768

License Status

NOT RENEWED

Business

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

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005