BLAKE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230037

License Status

NOT RENEWED

Business

First Name

BLAKE

Last Name

ANDERSON

Business Name

BLAKE ANDERSON

Original Issue Date

12/22/2014

Effective Date

03/23/2015

Expiration Date

03/31/2016

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/20/2016