OPAL MELISSA BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116451

License Status

NOT RENEWED

Business

First Name

OPAL MELISSA

Last Name

BLAKE

Business Name

OPAL MELISSA BLAKE

Original Issue Date

02/03/1997

Effective Date

02/03/1997

Expiration Date

03/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005