BRICKSTON BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216797

License Status

NOT RENEWED

Business

First Name

BRICKSTON

Last Name

BLACKBURN

Prefix

Business Name

BRICKSTON BLACKBURN

Original Issue Date

03/26/2013

Effective Date

03/27/2018

Expiration Date

03/31/2019

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2019