RONDA FAY BLAKES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206080

License Status

NOT RENEWED

Business

First Name

RONDA

Middle

FAY

Last Name

BLAKES

Business Name

RONDA FAY BLAKES

Original Issue Date

08/18/2011

Effective Date

08/18/2011

Expiration Date

03/31/2012

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012