EBONY BLAKES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212492

License Status

NOT RENEWED

Business

First Name

EBONY

Last Name

BLAKES

Business Name

EBONY BLAKES

Original Issue Date

07/27/2012

Effective Date

07/27/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013