KENNETH P BLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034129

License Status

NOT RENEWED

Business

First Name

KENNETH P

Last Name

BLAKE

Business Name

KENNETH P BLAKE

Original Issue Date

12/08/1981

Effective Date

01/17/2018

Expiration Date

09/30/2020

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021