KHALILAH MARIA BLACKMON - Pharmacist License in Illinois | # 049239202

KHALILAH MARIA BLACKMON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239202

License Status

NOT RENEWED

Business

N

First Name

KHALILAH

Middle

MARIA

Last Name

BLACKMON

Business Name

KHALILAH MARIA BLACKMON

Original Issue Date

01/28/2016

Effective Date

03/06/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025