BLAKE A PROBST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242922

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

PROBST

Business Name

BLAKE A PROBST

Original Issue Date

07/05/2016

Effective Date

07/05/2016

Expiration Date

03/31/2017

City

WHEELER

State

Zip

62479

County

JASPER

Ever Disciplined

LastModifiedDate

05/10/2017