KATHRYN ELLEN BOGART Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057634

License Status

CANCELLED

Business

First Name

KATHRYN ELLEN

Last Name

BOGART

Business Name

KATHRYN ELLEN BOGART

Original Issue Date

05/02/1972

Effective Date

05/02/1972

Expiration Date

01/01/1997

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005