JANICE L BLAKE - Pharmacist License in Illinois | # 049110153

JANICE L BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110153

License Status

NOT RENEWED

Business

N

First Name

JANICE L

Last Name

BLAKE

Business Name

JANICE L BLAKE

Original Issue Date

04/11/1995

Effective Date

04/11/1995

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005