SIMONE R BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226122

License Status

NOT RENEWED

Business

First Name

SIMONE

Middle

Last Name

BLAKE

Business Name

SIMONE R BLAKE

Original Issue Date

06/23/2014

Effective Date

06/15/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018