BRUCE A BLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058232

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

BLUM

Business Name

BRUCE A BLUM

Original Issue Date

08/22/1972

Effective Date

08/22/1972

Expiration Date

01/01/1997

City

SCHAUMBURG

State

Zip

60172

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005