PEGGY A BLACKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174702

License Status

NOT RENEWED

Business

First Name

PEGGY A

Last Name

BLACKER

Business Name

PEGGY A BLACKER

Original Issue Date

03/08/2007

Effective Date

03/08/2007

Expiration Date

03/31/2008

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

05/02/2008