AMBER N BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171842

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

BLACKBURN

Business Name

AMBER N BLACKBURN

Original Issue Date

10/06/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2008