VIRGINIA C BLAKELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199458

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Middle

Last Name

BLAKELY

Business Name

VIRGINIA C BLAKELY

Original Issue Date

07/14/2010

Effective Date

04/19/2012

Expiration Date

03/31/2013

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013