SCOTT G BLOOM - Pharmacist License in Illinois | # 049244530

SCOTT G BLOOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244530

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

G

Last Name

BLOOM

Business Name

SCOTT G BLOOM

Original Issue Date

09/08/2016

Effective Date

09/08/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017