JILL A BLOCKHUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093464

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

BLOCKHUS

Business Name

JILL A BLOCKHUS

Original Issue Date

06/23/1990

Effective Date

06/23/1990

Expiration Date

03/31/1994

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005