TED J RAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154643

License Status

NOT RENEWED

Business

First Name

TED

Middle

Last Name

RAKE

Business Name

TED J RAKE

Original Issue Date

05/28/2004

Effective Date

05/28/2004

Expiration Date

03/31/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005