LEANNE M BLACKWELL - Pharmacist License in Illinois | # 049112563

LEANNE M BLACKWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112563

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005