BLAKE M JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239914

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

JOHNSON

Business Name

BLAKE M JOHNSON

Original Issue Date

03/03/2016

Effective Date

03/03/2016

Expiration Date

03/31/2017

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017