ANGELA L BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217269

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

BLAKE

Business Name

ANGELA L BLAKE

Original Issue Date

04/09/2013

Effective Date

04/09/2013

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014