MARTIN I BLAKE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025292

License Status

INACTIVE

Business

First Name

MARTIN I

Last Name

BLAKE

Business Name

MARTIN I BLAKE

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005