TAYLOR D BLOOM - Pharmacist License in Illinois | # 049229147

TAYLOR D BLOOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229147

License Status

NOT RENEWED

Business

N

First Name

TAYLOR

Middle

D

Last Name

BLOOM

Prefix

MR

Business Name

TAYLOR D BLOOM

Original Issue Date

11/11/2014

Effective Date

11/11/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015