BLAKE THEODORE BUSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251621

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

THEODORE

Last Name

BUSCH

Business Name

BLAKE THEODORE BUSCH

Original Issue Date

06/30/2017

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

SAINT LOUIS

State

Zip

63109

Ever Disciplined

LastModifiedDate

07/15/2019