CAROLYN DENISE BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138697

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

DENISE

Last Name

BLACKWELL

Business Name

CAROLYN DENISE BLACKWELL

Original Issue Date

10/16/2001

Effective Date

09/27/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008