BLAKE ALLEN BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252805

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

ALLEN

Last Name

BROWN

Business Name

BLAKE ALLEN BROWN

Original Issue Date

09/07/2017

Effective Date

02/26/2019

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

01/08/2021