KANAPALI C BLACKWOOD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231251

License Status

INACTIVE

Business

First Name

KANAPALI

Middle

Last Name

BLACKWOOD

Prefix

Business Name

KANAPALI C BLACKWOOD

Original Issue Date

02/19/2015

Effective Date

03/16/2020

Expiration Date

03/31/2021

City

EVANSTON

State

Zip

60202

Ever Disciplined

LastModifiedDate

01/10/2021