BLACQUEE ISOM - Pharmacist License in Illinois | # 049287642

BLACQUEE ISOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287642

License Status

NOT RENEWED

Business

N

First Name

BLACQUEE

Last Name

ISOM

Business Name

BLACQUEE ISOM

Original Issue Date

11/05/2021

Effective Date

03/16/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025