TANIKA R BLACKLEDGE - Pharmacist License in Illinois | # 049156762

TANIKA R BLACKLEDGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156762

License Status

NOT RENEWED

Business

N

First Name

TANIKA

Middle

R

Last Name

BLACKLEDGE

Business Name

TANIKA R BLACKLEDGE

Original Issue Date

08/18/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007