LADAIJAH K BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283906

License Status

NOT RENEWED

Business

First Name

LADAIJAH

Middle

Last Name

BLAKE

Business Name

LADAIJAH K BLAKE

Original Issue Date

07/06/2021

Effective Date

07/06/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022