MORTON BLAKE MAIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234866

License Status

NOT RENEWED

Business

First Name

MORTON

Middle

BLAKE

Last Name

MAIER

Business Name

MORTON BLAKE MAIER

Original Issue Date

07/27/2015

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/04/2018