BRIAN CRAIG BLAUM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069812

License Status

CANCELLED

Business

First Name

BRIAN CRAIG

Last Name

BLAUM

Business Name

BRIAN CRAIG BLAUM

Original Issue Date

07/28/1978

Effective Date

07/28/1978

Expiration Date

01/01/1997

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005