GRETCHEN ANN BODUM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058081

License Status

CANCELLED

Business

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

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005