VICTORIA JADE BLACKPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246616

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

JADE

Last Name

BLACKPORT

Business Name

VICTORIA JADE BLACKPORT

Original Issue Date

11/28/2016

Effective Date

03/25/2021

Expiration Date

05/31/2022

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/27/2022