REBECCA MAE BLUM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159620

License Status

INACTIVE

Business

First Name

REBECCA

Middle

MAE

Last Name

BLUM

Business Name

REBECCA MAE BLUM

Original Issue Date

03/21/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NEWARK

State

Zip

60541

County

KENDALL

Ever Disciplined

LastModifiedDate

01/10/2008