DALE BLAKE LILLY - Pharmacist License in Illinois | # 049072963

DALE BLAKE LILLY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072963

License Status

NOT RENEWED

Business

N

First Name

DALE BLAKE

Last Name

LILLY

Business Name

DALE BLAKE LILLY

Original Issue Date

05/16/1980

Effective Date

05/16/1980

Expiration Date

03/31/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005