EUGENE BLACKWELL Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064631

License Status

CANCELLED

Business

First Name

EUGENE

Last Name

BLACKWELL

Business Name

EUGENE BLACKWELL

Original Issue Date

01/02/1976

Effective Date

01/02/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005