JACQUELINE BLAKELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139320

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

BLAKELY

Business Name

JACQUELINE BLAKELY

Original Issue Date

11/26/2001

Effective Date

05/11/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007