JILL M BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084498

License Status

NOT RENEWED

Business

First Name

JILL M

Last Name

BLAKE

Business Name

JILL M BLAKE

Original Issue Date

05/23/1987

Effective Date

05/23/1987

Expiration Date

03/31/1988

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005