KATIE L BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133643

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

BLACKWELL

Business Name

KATIE L BLACKWELL

Original Issue Date

11/16/2000

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/12/2011