DESTINY TAYLOR BLACKORBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276360

License Status

NOT RENEWED

Business

First Name

DESTINY

Middle

TAYLOR

Last Name

BLACKORBY

Business Name

DESTINY TAYLOR BLACKORBY

Original Issue Date

10/05/2020

Effective Date

10/05/2020

Expiration Date

03/31/2021

City

GODFREY

State

Zip

62035

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021