WILLIAM DERRICK BLAKE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051305048

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

DERRICK

Last Name

BLAKE

Business Name

WILLIAM DERRICK BLAKE

Original Issue Date

09/16/2022

Effective Date

01/31/2026

Expiration Date

03/31/2028

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

01/31/2026