BRANDLE S BLAKELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176705

License Status

NOT RENEWED

Business

First Name

BRANDLE

Middle

Last Name

BLAKELY

Business Name

BRANDLE S BLAKELY

Original Issue Date

05/31/2007

Effective Date

02/29/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017