BRUCE A BLUM - Pharmacist License in Illinois | # 049058232

BRUCE A BLUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058232

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005