DALE BLAKE LILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072963

License Status

NOT RENEWED

Business

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

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005