MATTHEW ROBERT BLECKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123222

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

BLECKE

Business Name

MATTHEW ROBERT BLECKE

Original Issue Date

10/14/1998

Effective Date

10/14/1998

Expiration Date

03/31/2000

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005