GRETCHEN ANN BODUM - Pharmacist License in Illinois | # 049058081

GRETCHEN ANN BODUM

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058081

License Status

CANCELLED

Business

N

First Name

GRETCHEN ANN

Last Name

BODUM

Business Name

GRETCHEN ANN BODUM

Original Issue Date

07/15/1972

Effective Date

07/15/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005