LUKE M BLAZEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198851

License Status

NOT RENEWED

Business

First Name

LUKE

Middle

Last Name

BLAZEK

Prefix

Business Name

LUKE M BLAZEK

Original Issue Date

06/12/2010

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

05/07/2012