KALEB MICHAEL BLANK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285134

License Status

NOT RENEWED

Business

First Name

KALEB

Middle

MICHAEL

Last Name

BLANK

Business Name

KALEB MICHAEL BLANK

Original Issue Date

08/30/2021

Effective Date

08/30/2021

Expiration Date

05/31/2022

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022