License holder summary

TRACY LYNN BLAKE is a Pharmacy Intern licensed to practice in Pennsylvania. The address on file for TRACY LYNN BLAKE is CHICORA PA 16025. This licensed professional license is not current. The license was granted 05/20/1991.

Pennsylvania

Department of State

TRACY LYNN BLAKE
Pharmacy Intern
License number
PI090597L
Date granted
05/20/1991
Class
Pharmacy Intern
Status
Inactive
Address
CHICORA PA 16025
palicensing.org
ID 17269520
LAST UPDATED 2024-04-20 03:24:53 UTC

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