RONNA ANN BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119172

License Status

NOT RENEWED

Business

First Name

RONNA

Middle

ANN

Last Name

BLAKE

Business Name

RONNA ANN BLAKE

Original Issue Date

10/27/1997

Effective Date

10/27/1997

Expiration Date

03/31/1999

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005