BLAKE A HOWARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204209

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

HOWARD

Business Name

BLAKE A HOWARD

Original Issue Date

05/18/2011

Effective Date

01/29/2013

Expiration Date

03/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014