LA DONNA BLAKE - Pharmacist License in Illinois | # 049163750

LA DONNA BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163750

License Status

NOT RENEWED

Business

N

First Name

LA DONNA

Last Name

BLAKE

Business Name

LA DONNA BLAKE

Original Issue Date

09/12/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008