TREVOR BLACKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049296296

License Status

NOT RENEWED

Business

First Name

TREVOR

Last Name

BLACKMAN

Business Name

TREVOR BLACKMAN

Original Issue Date

10/01/2022

Effective Date

03/05/2023

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025