ANTONIO BLACKMOND - Pharmacist License in Illinois | # 049133794

ANTONIO BLACKMOND

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133794

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/14/2010