CARL F BLACKFORD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063401

License Status

CANCELLED

Business

First Name

CARL F

Last Name

BLACKFORD

Business Name

CARL F BLACKFORD

Original Issue Date

05/09/1975

Effective Date

05/09/1975

Expiration Date

01/01/1997

City

HOFFMAN ESTATES

State

Zip

60172

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005