TIMOTHY E BLOOMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111248

License Status

NOT RENEWED

Business

First Name

TIMOTHY E

Last Name

BLOOMER

Business Name

TIMOTHY E BLOOMER

Original Issue Date

07/20/1995

Effective Date

07/20/1995

Expiration Date

03/31/1997

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005