BLAKE ALLEN CLAYTON - Pharmacist License in Illinois | # 049149287

BLAKE ALLEN CLAYTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149287

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Middle

ALLEN

Last Name

CLAYTON

Business Name

BLAKE ALLEN CLAYTON

Original Issue Date

06/26/2003

Effective Date

02/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010