DENNIS A BOUSELLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064698

License Status

NOT RENEWED

Business

First Name

DENNIS A

Last Name

BOUSELLI

Business Name

DENNIS A BOUSELLI

Original Issue Date

01/09/1976

Effective Date

01/09/1976

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005