BLAKE MARSHAL PRUETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227926

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

MARSHAL

Last Name

PRUETT

Business Name

BLAKE MARSHAL PRUETT

Original Issue Date

09/17/2014

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

FAYETTE

Ever Disciplined

LastModifiedDate

07/15/2019