ALEXA SHANICE BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297463

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

SHANICE

Last Name

BLAKE

Business Name

ALEXA SHANICE BLAKE

Original Issue Date

11/07/2022

Effective Date

11/07/2022

Expiration Date

03/31/2023

City

STOCKTON

State

Zip

21864

Ever Disciplined

LastModifiedDate

09/07/2023