JOAN M BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064813

License Status

NOT RENEWED

Business

First Name

JOAN M

Last Name

BLAKE

Business Name

JOAN M BLAKE

Original Issue Date

02/06/1976

Effective Date

02/06/1976

Expiration Date

03/31/1984

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005