MATTHEW W BLOOM Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287329

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

BLOOM

Business Name

MATTHEW W BLOOM

Original Issue Date

09/02/1999

Effective Date

03/11/2026

Expiration Date

03/31/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/11/2026