ELIZABETH ANN BLAKLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124716

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

BLAKLEY

Business Name

ELIZABETH ANN BLAKLEY

Original Issue Date

02/18/1999

Effective Date

02/18/1999

Expiration Date

03/31/2000

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005