BROOKE RENEE BLACKBURN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051305505

License Status

ACTIVE

Business

First Name

BROOKE

Middle

RENEE

Last Name

BLACKBURN

Business Name

BROOKE RENEE BLACKBURN

Original Issue Date

05/16/2023

Effective Date

01/17/2024

Expiration Date

03/31/2026

City

PLAINFIELD

State

Zip

46168

Ever Disciplined

LastModifiedDate

01/30/2026