ANNE L BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166237

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

Last Name

BLACKWELL

Business Name

ANNE L BLACKWELL

Original Issue Date

01/24/2006

Effective Date

04/02/2009

Expiration Date

03/31/2010

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010