MATTHEW ROBERT BLECKE - Pharmacist License in Illinois | # 049123222

MATTHEW ROBERT BLECKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123222

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005