KENNETH BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235148

License Status

NOT RENEWED

Business

First Name

KENNETH

Last Name

BLAKE

Business Name

KENNETH BLAKE

Original Issue Date

07/31/2015

Effective Date

07/31/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016