ERIN K BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164632

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

BLACKBURN

Business Name

ERIN K BLACKBURN

Original Issue Date

08/23/2005

Effective Date

03/18/2011

Expiration Date

03/31/2012

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012