VIKKI MARIE BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109069

License Status

NOT RENEWED

Business

First Name

VIKKI MARIE

Last Name

BLAKE

Business Name

VIKKI MARIE BLAKE

Original Issue Date

12/13/1994

Effective Date

12/13/1994

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005