BLAKE ROBERT VANDERMEERSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252227

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

ROBERT

Last Name

VANDERMEERSCH

Business Name

BLAKE ROBERT VANDERMEERSCH

Original Issue Date

08/08/2017

Effective Date

03/27/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019