VICKY JANE BOHM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063396

License Status

NOT RENEWED

Business

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

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005