EBONEE MONIQUE BLAKE - Pharmacist License in Illinois | # 049192556

EBONEE MONIQUE BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192556

License Status

NOT RENEWED

Business

N

First Name

EBONEE

Middle

MONIQUE

Last Name

BLAKE

Business Name

EBONEE MONIQUE BLAKE

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010