RICHARD J BLOOM - Pharmacist License in Illinois | # 051031996

RICHARD J BLOOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031996

License Status

NOT RENEWED

Business

N

First Name

RICHARD J

Last Name

BLOOM

Business Name

RICHARD J BLOOM

Original Issue Date

02/08/1978

Effective Date

02/08/1978

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005