OPAL MELISSA BLAKE - Pharmacist License in Illinois | # 049116451

OPAL MELISSA BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116451

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005