BLAKE MARSHAL PRUETT Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051301390

License Status

ACTIVE

Business

First Name

BLAKE

Middle

MARSHAL

Last Name

PRUETT

Business Name

BLAKE MARSHAL PRUETT

Original Issue Date

08/23/2018

Effective Date

03/29/2024

Expiration Date

03/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

Ever Disciplined

LastModifiedDate

01/30/2026