MARK J BLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075184

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

BLOUGH

Business Name

MARK J BLOUGH

Original Issue Date

08/24/1981

Effective Date

08/24/1981

Expiration Date

03/31/1987

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005