BLAKE O CHAMBERLAIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189355

License Status

INACTIVE

Business

First Name

BLAKE

Middle

Last Name

CHAMBERLAIN

Prefix

Business Name

BLAKE O CHAMBERLAIN

Original Issue Date

01/26/2009

Effective Date

01/26/2009

Expiration Date

03/31/2010

City

CAMPTON HILLS

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

01/12/2010