PATRICK E BOSOMWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071869

License Status

NOT RENEWED

Business

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

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005