SHANNON D BLACKAMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105939

License Status

NOT RENEWED

Business

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

City

JOLIET

State

Zip

60432

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005