ISAIAH FREDERICK BLACKBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253413

License Status

NOT RENEWED

Business

First Name

ISAIAH

Middle

FREDERICK

Last Name

BLACKBURN

Business Name

ISAIAH FREDERICK BLACKBURN

Original Issue Date

09/27/2017

Effective Date

03/09/2020

Expiration Date

03/31/2021

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2021