BLAKE R FOLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150259

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

FOLEY

Business Name

BLAKE R FOLEY

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

03/31/2005

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005