DEANDRA GAIL BLOOMBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127098

License Status

NOT RENEWED

Business

First Name

DEANDRA

Middle

GAIL

Last Name

BLOOMBERG

Business Name

DEANDRA GAIL BLOOMBERG

Original Issue Date

08/20/1999

Effective Date

08/20/1999

Expiration Date

03/31/2000

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/21/2005