NICHOLAS LEROY BLANKENBECKLER - Pharmacist License in Illinois | # 049268957

NICHOLAS LEROY BLANKENBECKLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268957

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

LEROY

Last Name

BLANKENBECKLER

Business Name

NICHOLAS LEROY BLANKENBECKLER

Original Issue Date

11/04/2019

Effective Date

11/04/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021