SOPHIA BLACKMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277565

License Status

NOT RENEWED

Business

First Name

SOPHIA

Last Name

BLACKMON

Business Name

SOPHIA BLACKMON

Original Issue Date

11/23/2020

Effective Date

11/23/2020

Expiration Date

03/31/2021

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2021