PATRICIA J BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053493

License Status

NOT RENEWED

Business

First Name

PATRICIA J

Last Name

BLAKE

Business Name

PATRICIA J BLAKE

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005