CHARLES W BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074536

License Status

NOT RENEWED

Business

First Name

CHARLES W

Last Name

BLACKWELL

Business Name

CHARLES W BLACKWELL

Original Issue Date

04/24/1981

Effective Date

04/24/1981

Expiration Date

03/31/1984

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005