TRACEY L BLOMBERG - Pharmacist License in Illinois | # 049208580

TRACEY L BLOMBERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208580

License Status

NOT RENEWED

Business

N

First Name

TRACEY

Middle

L

Last Name

BLOMBERG

Business Name

TRACEY L BLOMBERG

Original Issue Date

01/05/2012

Effective Date

01/05/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013