REBECCA ROSE BLOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136491

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ROSE

Last Name

BLOOM

Business Name

REBECCA ROSE BLOOM

Original Issue Date

05/30/2001

Effective Date

05/30/2001

Expiration Date

03/31/2006

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006