CANDIS N BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049299932

License Status

NOT RENEWED

Business

First Name

CANDIS

Middle

Last Name

BLAKE

Business Name

CANDIS N BLAKE

Original Issue Date

02/15/2023

Effective Date

03/05/2024

Expiration Date

03/31/2025

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/08/2025