BLAKE ALAN EDWARDS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068182

License Status

CANCELLED

Business

First Name

BLAKE ALAN

Last Name

EDWARDS

Business Name

BLAKE ALAN EDWARDS

Original Issue Date

09/30/1977

Effective Date

09/30/1977

Expiration Date

01/01/1997

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/17/2005