BLAKE MICHAEL OWENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196031

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

MICHAEL

Last Name

OWENS

Business Name

BLAKE MICHAEL OWENS

Original Issue Date

01/04/2010

Effective Date

01/04/2010

Expiration Date

03/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/12/2011