BLAKE BRITTNEY SEIBERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254975

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

BRITTNEY

Last Name

SEIBERT

Business Name

BLAKE BRITTNEY SEIBERT

Original Issue Date

12/12/2017

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/15/2019