KIM BLOMGREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082331

License Status

NOT RENEWED

Business

First Name

KIM

Last Name

BLOMGREN

Business Name

KIM BLOMGREN

Original Issue Date

03/17/1986

Effective Date

03/17/1986

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005