EMILY A BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137404

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

BLACKBURN

Business Name

EMILY A BLACKBURN

Original Issue Date

07/27/2001

Effective Date

07/27/2001

Expiration Date

03/31/2005

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005