MICHAEL BURNETT LINDBLOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146857

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

BURNETT

Last Name

LINDBLOOM

Business Name

MICHAEL BURNETT LINDBLOOM

Original Issue Date

01/28/2003

Effective Date

01/28/2003

Expiration Date

03/31/2005

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005