ANTONIO D BLAKES - Pharmacist License in Illinois | # 049187995

ANTONIO D BLAKES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187995

License Status

NOT RENEWED

Business

N

First Name

ANTONIO

Middle

D

Last Name

BLAKES

Business Name

ANTONIO D BLAKES

Original Issue Date

10/27/2008

Effective Date

01/22/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010