BLAKE R CAMPOS - Pharmacist License in Illinois | # 049276933

BLAKE R CAMPOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276933

License Status

NOT RENEWED

Business

N

First Name

BLAKE

Middle

R

Last Name

CAMPOS

Business Name

BLAKE R CAMPOS

Original Issue Date

10/24/2020

Effective Date

03/25/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022