MATTHEW C BLAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199746

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

BLAUM

Business Name

MATTHEW C BLAUM

Original Issue Date

08/03/2010

Effective Date

01/20/2012

Expiration Date

03/31/2013

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2013