BROOKE A BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223158

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

BLACKBURN

Prefix

Business Name

BROOKE A BLACKBURN

Original Issue Date

01/28/2014

Effective Date

01/28/2014

Expiration Date

03/31/2015

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/11/2015