KIMBERLYNE K BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086178

License Status

NOT RENEWED

Business

First Name

KIMBERLYNE K

Last Name

BLAKE

Business Name

KIMBERLYNE K BLAKE

Original Issue Date

03/16/1988

Effective Date

03/30/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010