SAMUEL F BLACKWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238526

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

BLACKWELL

Business Name

SAMUEL F BLACKWELL

Original Issue Date

12/28/2015

Effective Date

02/10/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017