KEVIN JAMES BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292192

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

JAMES

Last Name

BLAKE

Business Name

KEVIN JAMES BLAKE

Original Issue Date

04/21/2022

Effective Date

04/21/2022

Expiration Date

03/31/2023

City

MINNEAPOLIS

State

Zip

55401

Ever Disciplined

LastModifiedDate

09/07/2023