BLAKE FAWNS - Pharmacist License in Illinois | # 049184875

BLAKE FAWNS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184875

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Last Name

FAWNS

Business Name

BLAKE FAWNS

Original Issue Date

06/12/2008

Effective Date

02/13/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019