ANDY V BLOOM - Pharmacist License in Illinois | # 049101903

ANDY V BLOOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101903

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005