BLAKE ANTHONY SNYDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269804

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

ANTHONY

Last Name

SNYDER

Business Name

BLAKE ANTHONY SNYDER

Original Issue Date

12/12/2019

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022