BLAKE A BYBEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262077

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

BYBEE

Business Name

BLAKE A BYBEE

Original Issue Date

12/12/2018

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

07/20/2021