KRISTI A BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172624

License Status

NOT RENEWED

Business

First Name

KRISTI

Middle

Last Name

BLAKE

Business Name

KRISTI A BLAKE

Original Issue Date

11/16/2006

Effective Date

11/16/2006

Expiration Date

03/31/2007

City

POMPANO BEACH

State

Zip

33064

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/14/2007