TAWANNA D BLAKE - Pharmacist License in Illinois | # 049178013

TAWANNA D BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178013

License Status

NOT RENEWED

Business

N

First Name

TAWANNA

Middle

D

Last Name

BLAKE

Business Name

TAWANNA D BLAKE

Original Issue Date

07/25/2007

Effective Date

03/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010