DONNA MARIE BLACKFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124654

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

MARIE

Last Name

BLACKFORD

Business Name

DONNA MARIE BLACKFORD

Original Issue Date

02/09/1999

Effective Date

02/09/1999

Expiration Date

03/31/2001

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005