NANCY ELIZABETH BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157998

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

ELIZABETH

Last Name

BLAKE

Business Name

NANCY ELIZABETH BLAKE

Original Issue Date

11/29/2004

Effective Date

11/29/2004

Expiration Date

03/31/2005

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005