SIMONE R BLAKE - Pharmacist License in Illinois | # 049226122

SIMONE R BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226122

License Status

NOT RENEWED

Business

N

First Name

SIMONE

Middle

R

Last Name

BLAKE

Business Name

SIMONE R BLAKE

Original Issue Date

06/23/2014

Effective Date

06/15/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018