BLAKE YOUNGBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241648

License Status

NOT RENEWED

Business

First Name

BLAKE

Last Name

YOUNGBERG

Prefix

Business Name

BLAKE YOUNGBERG

Original Issue Date

05/03/2016

Effective Date

03/31/2017

Expiration Date

03/31/2018

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018