CLODELLA BOUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067838

License Status

NOT RENEWED

Business

First Name

CLODELLA

Last Name

BOUSE

Business Name

CLODELLA BOUSE

Original Issue Date

07/29/1977

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007