BLAKE ALAN EDWARDS - Pharmacist License in Illinois | # 049068182

BLAKE ALAN EDWARDS

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068182

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005