BLAKE N SHOCKLEY - Pharmacist License in Illinois | # 049235328

BLAKE N SHOCKLEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235328

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Middle

N

Last Name

SHOCKLEY

Business Name

BLAKE N SHOCKLEY

Original Issue Date

08/07/2015

Effective Date

03/02/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022