BLAKE E MAX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107006

License Status

NOT RENEWED

Business

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

City

SAN DIEGO

State

Zip

92109

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005