GARY D BLOOM - Pharmacist License in Illinois | # 049059299

GARY D BLOOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059299

License Status

NOT RENEWED

Business

N

First Name

GARY D

Last Name

BLOOM

Business Name

GARY D BLOOM

Original Issue Date

03/30/1973

Effective Date

03/30/1973

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005