VIKKI MARIE BLAKE - Pharmacist License in Illinois | # 049109069

VIKKI MARIE BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109069

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005