MICHAEL L BLACKBURN - Pharmacist License in Illinois | # 049092903

MICHAEL L BLACKBURN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092903

License Status

NOT RENEWED

Business

N

First Name

MICHAEL L

Last Name

BLACKBURN

Business Name

MICHAEL L BLACKBURN

Original Issue Date

04/21/1990

Effective Date

04/21/1990

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005