BLAIRE PATTON COOKE III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040919

License Status

NOT RENEWED

Business

First Name

BLAIRE

Last Name

PATTON COOKE III

Business Name

BLAIRE PATTON COOKE III

Original Issue Date

08/12/1996

Effective Date

08/12/1996

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005