MICHAEL D BLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061342

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

BLUM

Business Name

MICHAEL D BLUM

Original Issue Date

04/26/1974

Effective Date

04/26/1974

Expiration Date

01/01/1997

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005