KENNETH P BLAKE - Pharmacist License in Illinois | # 049067489

KENNETH P BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067489

License Status

NOT RENEWED

Business

N

First Name

KENNETH P

Last Name

BLAKE

Business Name

KENNETH P BLAKE

Original Issue Date

06/17/1977

Effective Date

06/17/1977

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005