JEANNA RAE BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217091

License Status

NOT RENEWED

Business

First Name

JEANNA

Middle

RAE

Last Name

BLACKBURN

Business Name

JEANNA RAE BLACKBURN

Original Issue Date

04/01/2013

Effective Date

04/01/2013

Expiration Date

03/31/2014

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/06/2014