AMY MICHELLE BLUMHAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115465

License Status

NOT RENEWED

Business

First Name

AMY MICHELLE

Last Name

BLUMHAGEN

Business Name

AMY MICHELLE BLUMHAGEN

Original Issue Date

10/02/1996

Effective Date

10/02/1996

Expiration Date

03/31/2004

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005