WILLIAM W BLOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099306

License Status

NOT RENEWED

Business

First Name

WILLIAM W

Last Name

BLOOM

Business Name

WILLIAM W BLOOM

Original Issue Date

02/05/1992

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/12/2011