JENNY LYNN BLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140765

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

LYNN

Last Name

BLUM

Business Name

JENNY LYNN BLUM

Original Issue Date

02/19/2002

Effective Date

02/19/2002

Expiration Date

03/31/2003

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005