TRACEE ANGELA BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132307

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005