RYAN EDWARD BLACKWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255672

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

EDWARD

Last Name

BLACKWOOD

Business Name

RYAN EDWARD BLACKWOOD

Original Issue Date

01/22/2018

Effective Date

01/22/2018

Expiration Date

03/31/2019

City

PARK FOREST

State

Zip

60466

County

WILL

Ever Disciplined

LastModifiedDate

07/15/2019