DIANE J BLOOME - Pharmacist License in Illinois | # 049100991

DIANE J BLOOME

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100991

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005