CAROLYN ELAINE BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080175

License Status

NOT RENEWED

Business

First Name

CAROLYN ELAINE

Last Name

BLACKWELL

Business Name

CAROLYN ELAINE BLACKWELL

Original Issue Date

08/28/1984

Effective Date

08/28/1984

Expiration Date

03/31/1986

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005