LAURA A BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192819

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

BLAKE

Prefix

Business Name

LAURA A BLAKE

Original Issue Date

07/06/2009

Effective Date

07/06/2009

Expiration Date

03/31/2010

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010