VICKY JANE BOHM - Pharmacist License in Illinois | # 049063396

VICKY JANE BOHM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063396

License Status

NOT RENEWED

Business

N

First Name

VICKY JANE

Last Name

BOHM

Business Name

VICKY JANE BOHM

Original Issue Date

05/02/1975

Effective Date

05/02/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005