BLAKE E MAX - Pharmacist License in California | # 049107006

BLAKE E MAX

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107006

License Status

NOT RENEWED

Business

N

First Name

BLAKE E

Last Name

MAX

Business Name

BLAKE E MAX

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

03/31/1995

State

CA

Ever Disciplined

N

LastModifiedDate

10/17/2005