KRYSTINA E BLAKE - Pharmacist License in Illinois | # 049228917

KRYSTINA E BLAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228917

License Status

NOT RENEWED

Business

N

First Name

KRYSTINA

Middle

E

Last Name

BLAKE

Business Name

KRYSTINA E BLAKE

Original Issue Date

10/30/2014

Effective Date

10/30/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015