GREGORY J BLACKBURN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067899

License Status

CANCELLED

Business

First Name

GREGORY J

Last Name

BLACKBURN

Business Name

GREGORY J BLACKBURN

Original Issue Date

08/12/1977

Effective Date

08/12/1977

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005