EBONEE MONIQUE BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192556

License Status

NOT RENEWED

Business

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

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010