AZRAEL BLACKTHORNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292936

License Status

NOT RENEWED

Business

First Name

AZRAEL

Last Name

BLACKTHORNE

Business Name

AZRAEL BLACKTHORNE

Original Issue Date

06/02/2022

Effective Date

03/27/2024

Expiration Date

03/31/2025

City

WORDEN

State

Zip

62097

County

MADISON

Ever Disciplined

LastModifiedDate

07/08/2025