NANCEY BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105457

License Status

NOT RENEWED

Business

First Name

NANCEY

Last Name

BLACKBURN

Business Name

NANCEY BLACKBURN

Original Issue Date

12/08/1993

Effective Date

12/08/1993

Expiration Date

03/31/2005

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005