DEBRA KAY BOUMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059300

License Status

NOT RENEWED

Business

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

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005