TRACEY L BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095646

License Status

NOT RENEWED

Business

First Name

TRACEY L

Last Name

BLAKE

Business Name

TRACEY L BLAKE

Original Issue Date

01/25/1991

Effective Date

01/25/1991

Expiration Date

03/31/2006

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006