SCOTT KURT BLOMGREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099339

License Status

NOT RENEWED

Business

First Name

SCOTT KURT

Last Name

BLOMGREN

Business Name

SCOTT KURT BLOMGREN

Original Issue Date

02/07/1992

Effective Date

02/07/1992

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005