NICHOLAS LEROY BLANKENBECKLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268957

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

LEROY

Last Name

BLANKENBECKLER

Business Name

NICHOLAS LEROY BLANKENBECKLER

Original Issue Date

11/04/2019

Effective Date

11/04/2019

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2021