BLAKE MEDICAL CTR PHARMACY - Pharmacist License in Illinois | # 054007578

BLAKE MEDICAL CTR PHARMACY

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054007578

License Status

CLOSED

Business

Y

Business Name

BLAKE MEDICAL CTR PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

06/23/2009