SCOTT G BLOOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244530

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

BLOOM

Business Name

SCOTT G BLOOM

Original Issue Date

09/08/2016

Effective Date

09/08/2016

Expiration Date

03/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/10/2017