KRISTINE M BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223515

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

BLAKE

Prefix

Business Name

KRISTINE M BLAKE

Original Issue Date

02/21/2014

Effective Date

02/21/2014

Expiration Date

03/31/2015

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

05/11/2015