HOLLY ANN BLAKE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049321769

License Status

ACTIVE

Business

First Name

HOLLY

Middle

ANN

Last Name

BLAKE

Business Name

HOLLY ANN BLAKE

Original Issue Date

07/16/2025

Effective Date

07/16/2025

Expiration Date

03/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/30/2026