LUKE M BLAZEK - Pharmacist License in Illinois | # 049198851

LUKE M BLAZEK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198851

License Status

NOT RENEWED

Business

N

First Name

LUKE

Middle

M

Last Name

BLAZEK

Prefix

MR

Business Name

LUKE M BLAZEK

Original Issue Date

06/12/2010

Effective Date

03/14/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012