BREON BLACKWELL Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049322706

License Status

ACTIVE

Business

First Name

BREON

Last Name

BLACKWELL

Business Name

BREON BLACKWELL

Original Issue Date

09/16/2025

Effective Date

03/19/2026

Expiration Date

03/31/2027

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/19/2026