KENNETH J BLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064469

License Status

NOT RENEWED

Business

First Name

KENNETH J

Last Name

BLUM

Business Name

KENNETH J BLUM

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

03/31/1984

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005