PHILIP M BLAZE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027132

License Status

NOT RENEWED

Business

First Name

PHILIP M

Last Name

BLAZE

Business Name

PHILIP M BLAZE

Original Issue Date

01/01/1997

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1988001204

Action

Probation

Discipline Start Date

07/16/1993

Discipline End Date

06/18/1994

Discipline Reason

Circuit Court lifts previously imposed stay on probation.