STEVEN M BLAKE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190620

License Status

INACTIVE

Business

First Name

STEVEN

Middle

Last Name

BLAKE

Business Name

STEVEN M BLAKE

Original Issue Date

04/01/2009

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2012