HENRY A BLOMQUIST Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021431

License Status

INACTIVE

Business

First Name

HENRY A

Last Name

BLOMQUIST

Business Name

HENRY A BLOMQUIST

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005