ANTHONY M BLOHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229352

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

BLOHM

Business Name

ANTHONY M BLOHM

Original Issue Date

11/18/2014

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016