SHIRLEY M BLACKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084105

License Status

NOT RENEWED

Business

First Name

SHIRLEY M

Last Name

BLACKMAN

Business Name

SHIRLEY M BLACKMAN

Original Issue Date

04/03/1987

Effective Date

04/03/1987

Expiration Date

03/31/1992

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005