LEANNE M BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112563

License Status

NOT RENEWED

Business

First Name

LEANNE M

Last Name

BLACKWELL

Business Name

LEANNE M BLACKWELL

Original Issue Date

11/21/1995

Effective Date

11/21/1995

Expiration Date

03/31/1998

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005