Mark Charles Bloom
ExpiredIllinois license 049061393
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049061393
- Status
- Expired (Not Renewed)
- First issued
- April 26, 1974
- Expired
- January 1, 1997
- License holder
- Mark Charles Bloom
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/26/1974
Contact
Lombard, IL 60148
Dupage County