CAROL JANE BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108634

License Status

NOT RENEWED

Business

First Name

CAROL JANE

Last Name

BLACKWELL

Business Name

CAROL JANE BLACKWELL

Original Issue Date

10/27/1994

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2009