PATRICK E BOSOMWORTH - Pharmacist License in Illinois | # 049071869

PATRICK E BOSOMWORTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071869

License Status

NOT RENEWED

Business

N

First Name

PATRICK E

Last Name

BOSOMWORTH

Business Name

PATRICK E BOSOMWORTH

Original Issue Date

09/21/1979

Effective Date

09/21/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005