BLAKE E CENTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096738

License Status

NOT RENEWED

Business

First Name

BLAKE E

Last Name

CENTERS

Business Name

BLAKE E CENTERS

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

03/31/1993

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005