ANTONIO BLACKMOND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133794

License Status

NOT RENEWED

Business

First Name

ANTONIO

Last Name

BLACKMOND

Business Name

ANTONIO BLACKMOND

Original Issue Date

11/29/2000

Effective Date

11/29/2000

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

07/14/2010