GLENN D BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027176

License Status

NOT RENEWED

Business

First Name

GLENN D

Last Name

BLAKE

Business Name

GLENN D BLAKE

Original Issue Date

01/01/1997

Expiration Date

03/31/2006

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006