GINA M BLACKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109893

License Status

NOT RENEWED

Business

First Name

GINA M

Last Name

BLACKMAN

Business Name

GINA M BLACKMAN

Original Issue Date

03/28/1995

Effective Date

03/28/1995

Expiration Date

03/31/1996

City

HAZELCREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005