BLAKE D HOFFMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185244

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

HOFFMAN

Business Name

BLAKE D HOFFMAN

Original Issue Date

06/27/2008

Effective Date

03/12/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013