SUSAN W BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164497

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BLACKBURN

Business Name

SUSAN W BLACKBURN

Original Issue Date

09/16/2005

Effective Date

03/26/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010