DAVID BLUMENTHAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063908

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

BLUMENTHAL

Business Name

DAVID BLUMENTHAL

Original Issue Date

07/18/1975

Effective Date

07/18/1975

Expiration Date

01/01/1997

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005