BLAKE L CORNWELL Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302233

License Status

ACTIVE

Business

First Name

BLAKE

Middle

Last Name

CORNWELL

Prefix

Business Name

BLAKE L CORNWELL

Original Issue Date

07/20/2019

Effective Date

02/18/2026

Expiration Date

03/31/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/18/2026