KHALILAH MARIA BLACKMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239202

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025