VERONICA MARIE BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185015

License Status

NOT RENEWED

Business

First Name

VERONICA

Middle

MARIE

Last Name

BLAKE

Business Name

VERONICA MARIE BLAKE

Original Issue Date

06/18/2008

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011