BLAKE BARKUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228578

License Status

NOT RENEWED

Business

First Name

BLAKE

Last Name

BARKUS

Business Name

BLAKE BARKUS

Original Issue Date

10/16/2014

Effective Date

02/25/2016

Expiration Date

03/31/2017

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017