MARTHA M BLAKELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185348

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

BLAKELY

Business Name

MARTHA M BLAKELY

Original Issue Date

07/07/2008

Effective Date

07/07/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009