BETTY J BLOME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128945

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

Last Name

BLOME

Business Name

BETTY J BLOME

Original Issue Date

01/14/2000

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/06/2009