STEVEN M BLAKE - Pharmacist License in Illinois | # 049190620

STEVEN M BLAKE

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190620

License Status

INACTIVE

Business

N

First Name

STEVEN

Middle

M

Last Name

BLAKE

Business Name

STEVEN M BLAKE

Original Issue Date

04/01/2009

Effective Date

03/14/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/12/2012