BLAKE EDWARDS Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034897

License Status

ACTIVE

Business

First Name

BLAKE

Last Name

EDWARDS

Business Name

BLAKE EDWARDS

Original Issue Date

08/09/1983

Effective Date

02/19/2024

Expiration Date

03/31/2026

City

MCLEANSBORO

State

Zip

62859

Ever Disciplined

LastModifiedDate

01/30/2026

Case Number

1993005905

Action

Probation

Discipline Start Date

05/14/1994

Discipline End Date

07/28/1998

Discipline Reason

Substance abuse problem.