KYLE ALAN BLOM - Pharmacist License in Illinois | # 049260997

KYLE ALAN BLOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260997

License Status

NOT RENEWED

Business

N

First Name

KYLE

Middle

ALAN

Last Name

BLOM

Business Name

KYLE ALAN BLOM

Original Issue Date

10/25/2018

Effective Date

02/26/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021