EUGENE BLACKWELL - Pharmacist License in Illinois | # 049064631

EUGENE BLACKWELL

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064631

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005