ANN BLACKFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081272

License Status

NOT RENEWED

Business

First Name

ANN

Last Name

BLACKFORD

Business Name

ANN BLACKFORD

Original Issue Date

07/03/1985

Effective Date

02/26/2010

Expiration Date

03/31/2011

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/12/2011