SYLVIA S STREET-BLACKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080015

License Status

NOT RENEWED

Business

First Name

SYLVIA S

Last Name

STREET-BLACKMAN

Business Name

SYLVIA S STREET-BLACKMAN

Original Issue Date

07/31/1984

Effective Date

03/31/2014

Expiration Date

03/31/2015

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015