BLAKE J LUTZOW Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051303224

License Status

ACTIVE

Business

First Name

BLAKE

Middle

Last Name

LUTZOW

Business Name

BLAKE J LUTZOW

Original Issue Date

08/04/2020

Effective Date

03/11/2026

Expiration Date

03/31/2028

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/11/2026