BLAKE L CORNWELL - Pharmacist License in Illinois | # 049212371

BLAKE L CORNWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212371

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Middle

L

Last Name

CORNWELL

Prefix

MR

Business Name

BLAKE L CORNWELL

Original Issue Date

07/23/2012

Effective Date

03/11/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021