FRED C BLUMHAGEN JR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028451

License Status

INACTIVE

Business

First Name

FRED C

Last Name

BLUMHAGEN JR

Business Name

FRED C BLUMHAGEN JR

Original Issue Date

01/01/1997

Effective Date

03/12/2012

Expiration Date

03/31/2014

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/09/2014