MATTHEW C BLAUM - Pharmacist License in Illinois | # 049199746

MATTHEW C BLAUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199746

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

C

Last Name

BLAUM

Business Name

MATTHEW C BLAUM

Original Issue Date

08/03/2010

Effective Date

01/20/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013