GEISE K BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053906

License Status

NOT RENEWED

Business

First Name

GEISE K

Last Name

BLAKE

Business Name

GEISE K BLAKE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

LAKELAND

State

Zip

31635

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/17/2005