BLAKE J SORENSEN - Pharmacist License in Illinois | # 049173279

BLAKE J SORENSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173279

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Middle

J

Last Name

SORENSEN

Business Name

BLAKE J SORENSEN

Original Issue Date

12/18/2006

Effective Date

03/01/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014