HENRY A BOOMER III - Pharmacist License in Illinois | # 049163055

HENRY A BOOMER III

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163055

License Status

NOT RENEWED

Business

N

First Name

HENRY

Middle

A

Last Name

BOOMER

Suffix

III

Business Name

HENRY A BOOMER III

Original Issue Date

08/17/2005

Effective Date

03/04/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011