TRENT JAMES BLAKELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143795

License Status

NOT RENEWED

Business

First Name

TRENT

Middle

JAMES

Last Name

BLAKELY

Business Name

TRENT JAMES BLAKELY

Original Issue Date

07/23/2002

Effective Date

07/23/2002

Expiration Date

03/31/2003

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005