DARLENE M BOAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062928

License Status

NOT RENEWED

Business

First Name

DARLENE M

Last Name

BOAZ

Business Name

DARLENE M BOAZ

Original Issue Date

02/14/1975

Effective Date

02/14/1975

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005