TRACEY L BLOMBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208580

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

BLOMBERG

Business Name

TRACEY L BLOMBERG

Original Issue Date

01/05/2012

Effective Date

01/05/2012

Expiration Date

03/31/2013

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/06/2013