CARMON M BLACKMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188471

License Status

NOT RENEWED

Business

First Name

CARMON

Middle

Last Name

BLACKMORE

Business Name

CARMON M BLACKMORE

Original Issue Date

12/02/2008

Effective Date

12/02/2008

Expiration Date

03/31/2009

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2009