ETHEL MAXINE BOREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061080

License Status

NOT RENEWED

Business

First Name

ETHEL MAXINE

Last Name

BOREN

Business Name

ETHEL MAXINE BOREN

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

03/31/1984

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005