ANITA LOUISE BLOOMQUIST - Pharmacist License in Illinois | # 049066734

ANITA LOUISE BLOOMQUIST

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066734

License Status

NOT RENEWED

Business

N

First Name

ANITA LOUISE

Last Name

BLOOMQUIST

Business Name

ANITA LOUISE BLOOMQUIST

Original Issue Date

02/04/1977

Effective Date

02/04/1977

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005