ANDY V BLOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101903

License Status

NOT RENEWED

Business

First Name

ANDY V

Last Name

BLOOM

Business Name

ANDY V BLOOM

Original Issue Date

12/07/1992

Effective Date

12/07/1992

Expiration Date

03/31/1995

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005