SUSAN W BLACKBURN - Pharmacist License in Illinois | # 049164497

SUSAN W BLACKBURN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164497

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

W

Last Name

BLACKBURN

Business Name

SUSAN W BLACKBURN

Original Issue Date

09/16/2005

Effective Date

03/26/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010