TRACEE ANGELA BLACKBURN - Pharmacist License in Illinois | # 049132307

TRACEE ANGELA BLACKBURN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132307

License Status

NOT RENEWED

Business

N

First Name

TRACEE

Middle

ANGELA

Last Name

BLACKBURN

Business Name

TRACEE ANGELA BLACKBURN

Original Issue Date

08/21/2000

Effective Date

08/21/2000

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005