Blake Theodore Busch

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049251621

Status

Expired (Not Renewed)

First issued

June 30, 2017

Expired

March 31, 2019

License holder

Blake Theodore Busch

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

03/13/2018

Other Illinois licenses under this name

• IL
  Blake Theodore Busch

  License 051303232

  Registered Pharmacist (Pharmacy)
  Active

  Saint Louis, MO

  Expires Mar 31, 2028

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