DIANE J BLOOME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100991

License Status

NOT RENEWED

Business

First Name

DIANE J

Last Name

BLOOME

Business Name

DIANE J BLOOME

Original Issue Date

08/13/1992

Effective Date

08/13/1992

Expiration Date

03/31/2002

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005