JOHN E BLOOM - Pharmacist License in Illinois | # 049065607

JOHN E BLOOM

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065607

License Status

CANCELLED

Business

N

First Name

JOHN E

Last Name

BLOOM

Business Name

JOHN E BLOOM

Original Issue Date

06/25/1976

Effective Date

06/25/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005