SHANNON D BLACKAMORE - Pharmacist License in Illinois | # 049105939

SHANNON D BLACKAMORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105939

License Status

NOT RENEWED

Business

N

First Name

SHANNON D

Last Name

BLACKAMORE

Business Name

SHANNON D BLACKAMORE

Original Issue Date

02/09/1994

Effective Date

02/09/1994

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005