KATHLEEN LOUISE BLOMBERG - Pharmacist License in Illinois | # 049130996

KATHLEEN LOUISE BLOMBERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130996

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN

Middle

LOUISE

Last Name

BLOMBERG

Business Name

KATHLEEN LOUISE BLOMBERG

Original Issue Date

05/31/2000

Effective Date

05/31/2000

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005