ROBERT A BLAKELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133924

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BLAKELY

Business Name

ROBERT A BLAKELY

Original Issue Date

12/06/2000

Effective Date

12/06/2000

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005