MARY ANN BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103985

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

BLACKBURN

Business Name

MARY ANN BLACKBURN

Original Issue Date

07/12/1993

Effective Date

03/15/2011

Expiration Date

03/31/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012