LAKE WILLIAM BLOCHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250744

License Status

NOT RENEWED

Business

First Name

LAKE

Middle

WILLIAM

Last Name

BLOCHER

Business Name

LAKE WILLIAM BLOCHER

Original Issue Date

05/22/2017

Effective Date

05/22/2017

Expiration Date

03/31/2018

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018