TANIKA R BLACKLEDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156762

License Status

NOT RENEWED

Business

First Name

TANIKA

Middle

Last Name

BLACKLEDGE

Business Name

TANIKA R BLACKLEDGE

Original Issue Date

08/18/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007