TAYLOR D BLOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229147

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

BLOOM

Prefix

Business Name

TAYLOR D BLOOM

Original Issue Date

11/11/2014

Effective Date

11/11/2014

Expiration Date

03/31/2015

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/11/2015