KEVIN ROBERT BLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200783

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

ROBERT

Last Name

BLUM

Business Name

KEVIN ROBERT BLUM

Original Issue Date

09/29/2010

Effective Date

02/23/2011

Expiration Date

03/31/2012

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

05/07/2012