BLAKE EDWARD HOWARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206807

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

EDWARD

Last Name

HOWARD

Business Name

BLAKE EDWARD HOWARD

Original Issue Date

09/20/2011

Effective Date

02/10/2014

Expiration Date

03/31/2015

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015