BENJAMIN D BLITZBLAU Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290077

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

BLITZBLAU

Business Name

BENJAMIN D BLITZBLAU

Original Issue Date

08/06/2004

Effective Date

02/09/2026

Expiration Date

03/31/2028

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/09/2026