CAROLYN A BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096330

License Status

NOT RENEWED

Business

First Name

CAROLYN A

Last Name

BLACKBURN

Business Name

CAROLYN A BLACKBURN

Original Issue Date

03/29/1991

Effective Date

03/29/1991

Expiration Date

03/31/2004

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005