License holder summary

Mary Virginia Blackburn is a Pharmacy Technician licensed to practice in Indiana. The address on file for Mary Virginia Blackburn is South Bend IN 46615. This licensed professional license is not current. The license was granted 04/20/2004 and expired on 06/30/2010.

Indiana

Professional Licensing Agency

Mary Virginia Blackburn
Pharmacy Technician
License number
67006364A
Date granted
04/20/2004
Date expires
06/30/2010
Class
Pharmacy Technician
Status
Expired
Address
South Bend IN 46615
indianalicensing.org
ID 8357471
LAST UPDATED 2024-04-22 12:38:02 UTC

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