Madison A Blackburn Dpt

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049234652

Status

Expired (Not Renewed)

First issued

July 21, 2015

Expired

March 31, 2023

License holder

Madison A Blackburn

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

05/01/2022

Other Illinois licenses under this name

• IL
  Madison A Blackburn Dpt

  License 070028436 · Madison A Blackburn

  Licensed Physical Therapist
  Active

  Saint Louis, MO

  Expired Sep 30, 2026

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