STEVEN ALAN BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143829

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

ALAN

Last Name

BLACKWELL

Business Name

STEVEN ALAN BLACKWELL

Original Issue Date

07/29/2002

Effective Date

07/29/2002

Expiration Date

03/31/2003

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005