LA DONNA BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163750

License Status

NOT RENEWED

Business

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

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008