BLAKE R CAMPOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276933

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

CAMPOS

Business Name

BLAKE R CAMPOS

Original Issue Date

10/24/2020

Effective Date

03/25/2021

Expiration Date

05/31/2022

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022