KEVIN JAMES BLAKE - Pharmacist License in Minnesota | # 049292192

KEVIN JAMES BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292192

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

JAMES

Last Name

BLAKE

Business Name

KEVIN JAMES BLAKE

Original Issue Date

04/21/2022

Effective Date

04/21/2022

Expiration Date

03/31/2023

State

MN

Ever Disciplined

N

LastModifiedDate

09/07/2023