WANDA J BLAKEMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152148

License Status

NOT RENEWED

Business

First Name

WANDA

Middle

Last Name

BLAKEMORE

Business Name

WANDA J BLAKEMORE

Original Issue Date

11/17/2003

Effective Date

01/29/2009

Expiration Date

03/31/2010

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

05/04/2010