ANITA LOUISE BLOOMQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066734

License Status

NOT RENEWED

Business

First Name

ANITA LOUISE

Last Name

BLOOMQUIST

Business Name

ANITA LOUISE BLOOMQUIST

Original Issue Date

02/04/1977

Effective Date

02/04/1977

Expiration Date

03/31/2004

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005