SARAH J BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168745

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

BLAKE

Business Name

SARAH J BLAKE

Original Issue Date

05/18/2006

Effective Date

02/04/2014

Expiration Date

03/31/2015

City

GALESBURG

State

Zip

61401

Ever Disciplined

LastModifiedDate

05/11/2015