BLAKE J CARLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169560

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

CARLEY

Business Name

BLAKE J CARLEY

Original Issue Date

06/23/2006

Effective Date

02/23/2011

Expiration Date

03/31/2012

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

05/07/2012