DEBRA KAY BOUMA - Pharmacist License in Illinois | # 049059300

DEBRA KAY BOUMA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059300

License Status

NOT RENEWED

Business

N

First Name

DEBRA KAY

Last Name

BOUMA

Business Name

DEBRA KAY BOUMA

Original Issue Date

03/30/1973

Effective Date

03/30/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005