RYLIE NICOLE BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172137

License Status

NOT RENEWED

Business

First Name

RYLIE

Middle

NICOLE

Last Name

BLACKBURN

Business Name

RYLIE NICOLE BLACKBURN

Original Issue Date

10/30/2006

Effective Date

10/30/2006

Expiration Date

03/31/2007

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/14/2007