TOMMY L BLACKBURN JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105155

License Status

NOT RENEWED

Business

First Name

TOMMY L

Last Name

BLACKBURN JR

Business Name

TOMMY L BLACKBURN JR

Original Issue Date

11/08/1993

Effective Date

11/08/1993

Expiration Date

03/31/1995

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005