BLAKE N SHOCKLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235328

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

SHOCKLEY

Business Name

BLAKE N SHOCKLEY

Original Issue Date

08/07/2015

Effective Date

03/02/2021

Expiration Date

05/31/2022

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022