BLAKE NORD BECKWITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255242

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

NORD

Last Name

BECKWITH

Business Name

BLAKE NORD BECKWITH

Original Issue Date

12/29/2017

Effective Date

01/31/2018

Expiration Date

03/31/2019

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2019